NPIMap

Organization Active NPI

Principles Inc.

Doing business as Impact

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1679917652
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1900948HN Issued in CA
Legal business name
PRINCIPLES INC.
Doing business as
Impact
Practice address
3217 N Eastern Ave
Los Angeles, CA 90032
Phone
(213) 625-5009
Fax
(213) 625-5025
NPI assigned
Apr 22, 2013
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCIPLES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
James M. Stillwell
Title
Executive Director
Phone
(626) 798-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1900948HN CA Primary

Addresses

Primary practice location

3217 N Eastern Ave
Los Angeles, CA 90032

Mailing address

1680 N Fair Oaks Ave
Pasadena, CA 91103-1642
Phone (626) 798-0884

Other names 1

  • Impact Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Principles Inc Dba Impact Drug Alcohol Treatment Center3 organizations share this tax ID, including this one
Part of
Principles Inc Dba Impact Drug Alcohol Treatment Center

Other organizations with this tax ID 2

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

Locations

3217 N Eastern Ave
Los Angeles, CA 90032
Phone (213) 625-5009

1680 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 798-0884

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1679917652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031642",
            "telephone_number": "626-798-0884",
            "fax_number": "626-798-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90032",
            "telephone_number": "213-625-5009",
            "fax_number": "213-625-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCIPLES INC.",
        "enumeration_date": "2013-04-22",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-798-0884"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "1900948HN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact",
            "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 Feb 4, 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.