NPIMap

Organization Active NPI

Plaza Community Center

Doing business as Plaza Community Services

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
National Provider Identifier
1679896781
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PLAZA COMMUNITY CENTER
Doing business as
Plaza Community Services
Practice address
5255 Pomona Blvd Ste 5
Los Angeles, CA 90022-1753
Phone
(323) 888-2530
Fax
(323) 726-3510
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Gabriel Buelna, PH.D.
Title
Executive Director
Phone
(323) 267-9749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CA Primary

Addresses

Primary practice location

5255 Pomona Blvd Ste 5
Los Angeles, CA 90022-1753

Mailing address

4018 City Terrace Dr
Los Angeles, CA 90063-1242
Phone (323) 267-9749

Other names 1

  • Plaza Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Esperanza Drug and Alcohol Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4018 City Terrace Dr
Los Angeles, CA 90063
Phone (323) 267-9749

5255 Pomona Blvd
Ste 5
Los Angeles, CA 90022
Phone (323) 888-2530

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1679896781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CITY TERRACE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900631242",
            "telephone_number": "323-267-9749",
            "fax_number": "323-267-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 POMONA BLVD STE 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221753",
            "telephone_number": "323-888-2530",
            "fax_number": "323-726-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BUELNA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-267-9749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2010; 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.