NPIMap

Organization Active NPI

Epidaurus

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1689443772
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EPIDAURUS
Practice address
3316 S Main St
Los Angeles, CA 90007-4126
Phone
(323) 387-9146
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Olga Mellizo
Title
Chief Development Officer
Phone
(970) 889-2351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

3316 S Main St
Los Angeles, CA 90007-4126

Mailing address

PO Box 3043
Tucson, AZ 85702-3043
Phone (520) 910-0401

Other names 1

  • Amity Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amity Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3316 S Main St
Los Angeles, CA 90007
Phone (213) 446-4316

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1689443772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3043",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857023043",
            "telephone_number": "520-910-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074126",
            "telephone_number": "323-387-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIDAURUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MELLIZO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "970-889-2351"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amity Foundation",
            "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 Jul 9, 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.