NPIMap

Organization Active NPI

University of Southern California

Doing business as USC Telebehavioral Health Clinic

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1679978514
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNIVERSITY OF SOUTHERN CALIFORNIA
Doing business as
USC Telebehavioral Health Clinic
USC Telehealth
Practice address
669 W 34TH St Ste 102L
Los Angeles, CA 90089-0411
Phone
(866) 740-6502
NPI assigned
Nov 4, 2014
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Elias Martinez
Title
Operations Coordinator
Phone
(213) 566-7514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

669 W 34TH St Ste 102L
Los Angeles, CA 90089-0411

Mailing address

669 W 34TH St Ste 102L
Los Angeles, CA 90089-0411
Phone (866) 740-6502

Other names 2

  • USC Telebehavioral Health Clinic Doing business as
  • USC Telehealth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Usc School of Dentistry32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

669 W 34th St
Ste 102L
Los Angeles, CA 90089
Phone (213) 821-5977

Practitioners & affiliated clinicians

Practitioners 7

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1679978514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 W 34TH ST STE 102L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890411",
            "telephone_number": "866-740-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 W 34TH ST STE 102L",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890411",
            "telephone_number": "866-740-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "213-566-7514"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC Telebehavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USC Telehealth",
            "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 Jun 12, 2025; 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.