NPIMap

Organization Active NPI

Vista del Mar - Spa 4

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1659509693
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISTA DEL MAR - SPA 4
Practice address
3333 Wilshire Blvd Ste 604
Los Angeles, CA 90010-4106
Phone
(310) 836-1223
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Carrington
Title
Director Quality Standards and Comp
Phone
(310) 836-1223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3333 Wilshire Blvd Ste 604
Los Angeles, CA 90010-4106

Mailing address

3325 Wilshire Blvd
Suite 915
Los Angeles, CA 90010-1703
Phone (310) 836-1223

National Provider Directory

National Provider Directory
Tax ID family
Vista del Mar Child and Family Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3325 Wilshire Blvd
Ste 915
Los Angeles, CA 90010

3333 Wilshire Blvd
Ste 604
Los Angeles, CA 90010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1659509693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 WILSHIRE BLVD",
            "address_2": "SUITE 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101703",
            "telephone_number": "310-836-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WILSHIRE BLVD STE 604",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900104106",
            "telephone_number": "310-836-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DEL MAR - SPA 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR QUALITY STANDARDS AND COMP",
        "authorized_official_telephone_number": "310-836-1223"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.