Active NPI
Los Angeles Unified School District
- School Social Worker
- Los Angeles, CA
National Provider Identifier
1679570980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Legal business name
- LOS ANGELES UNIFIED SCHOOL DISTRICT
- Practice address
- 439 W 97TH St
Los Angeles, CA 90003-3968 - Phone
- (213) 241-0558
- Fax
- (213) 241-8458
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Dicecco
- Title
- Director
- Phone
- (213) 241-3846
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | SS1964733 | CA | |
| School Psychologist | 103TS0200X | SS1964733 | CA | |
| School Social Worker | 1041S0200X | CA | Primary | |
| School Social Worker | 1041S0200X | SS1964733 | CA | |
| School Registered Nurse | 163WS0200X | SS1964733 | CA | |
| Pediatrics Physician | 208000000X | SS1964733 | CA | |
| Physical Therapist | 225100000X | SS1964733 | CA | |
| Occupational Therapist | 225X00000X | SS1964733 | CA | |
| Audiologist | 231H00000X | SS1964733 | CA | |
| Speech-Language Pathologist | 235Z00000X | SS1964733 | CA | |
| Local Education Agency (LEA) | 251300000X | SS1964733 | CA | |
| Public Health or Welfare Agency | 251K00000X | SS1964733 | CA | |
| Community/Behavioral Health Agency | 251S00000X | 0315 | CA | |
| School Nurse Practitioner | 363LS0200X | SS1964733 | CA |
Addresses
Primary practice location
439 W 97TH St
Los Angeles, CA 90003-3968
Mailing address
333 S Beaudry Ave
SHHS - Cost Recovery 29-216-02
Los Angeles, CA 90017-1466
Phone (213) 241-0558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS1964733 | Medicaid | CA | |
| 0315 | Medicaid | CA |
Other names 1
- LAUSD 97th Street School MH Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Lausd 97TH St Valleysmh
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1902034101
-
- Local Education Agency (LEA)
- Los Angeles, CA
- NPI 1902926413
-
- Adolescent and Children Mental Health Clinic/Center
- Van Nuys, CA
- NPI 1003115544
-
- Pediatric Nurse Practitioner
- Los Angeles, CA
- NPI 1699187484
-
- Local Education Agency (LEA)
- Los Angeles, CA
- NPI 1922461417
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1811307622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1679570980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S BEAUDRY AVE",
"address_2": "SHHS - COST RECOVERY 29-216-02",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171466",
"telephone_number": "213-241-0558",
"fax_number": "213-241-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 W 97TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900033968",
"telephone_number": "213-241-0558",
"fax_number": "213-241-8458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "DICECCO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "213-241-3846"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "SS1964733",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "0315",
"primary": false
},
{
"code": "363LS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, School",
"state": "CA",
"license": "SS1964733",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS1964733",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAUSD 97th Street School MH Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Los Angeles Teen Outpatient Center LLC
- Los Angeles TMS Institute, Inc.
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles Unified School District
- Los Angeles United Spine Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.