Organization Active NPI

Los Angeles Department of Mental Health

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1669559589
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
101YM0800X Issued in CA
Legal business name
LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Practice address
4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209
Phone
(323) 887-5788
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Laura Rosario Calvillo, MSW
Title
Psychiatric Social Worker
Phone
(323) 887-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 101YM0800X CA Primary

Addresses

Primary practice location

4701 E Cesar E Chavez Ave FL 2
Los Angeles, CA 90022-1209

Mailing address

PO Box 8
Montebello, CA 90640-0008
Phone (323) 972-3495

Other identifiers 1

IdentifierTypeStateIssuer
ASW20875OtherCAASSOCIATE CLINICAL SOCIAL

Other names 1

  • Roybal Family Mental Health Services School Based Program Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669559589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906400008",
            "telephone_number": "323-972-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E CESAR E CHAVEZ AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221209",
            "telephone_number": "323-887-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALVILLO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "PSYCHIATRIC SOCIAL WORKER",
        "authorized_official_telephone_number": "323-887-5788",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE CLINICAL SOCIAL",
            "identifier": "ASW20875",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roybal Family Mental Health Services School Based Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.