NPIMap

Organization Active NPI

Community West LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1679060669
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COMMUNITY WEST LLC
Practice address
1990 S Bundy Dr Ste 320
Los Angeles, CA 90025-5249
Phone
(310) 990-0988
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Marc Sanders, PHD, FIPA
Title
Co-Founder
Phone
(310) 497-5995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1990 S Bundy Dr Ste 320
Los Angeles, CA 90025-5249

Mailing address

1990 S Bundy Dr Ste 320
Los Angeles, CA 90025-5249
Phone (310) 990-0988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1679060669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S BUNDY DR STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255249",
            "telephone_number": "310-990-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S BUNDY DR STE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255249",
            "telephone_number": "310-990-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "310-497-5995",
        "authorized_official_credential": "PHD, FIPA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental 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 Apr 16, 2018; 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.