NPIMap

Organization Active NPI

Vip Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1699306340
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VIP COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
2730 Ganahl St
Los Angeles, CA 90033-2019
Phone
(323) 221-4134
NPI assigned
Jan 31, 2020
Organization subpart
Yes
Parent organization
VIP COMMUNITY MENTAL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Dustin Schiada
Title
Clinical Director
Phone
(323) 221-4134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2730 Ganahl St
Los Angeles, CA 90033-2019

Mailing address

1721 Griffin Ave
Los Angeles, CA 90031-3312

Other names 1

  • VIP Evergreen Elementary School Other name

National Provider Directory

National Provider Directory
Tax ID family
Vip Community Mental Health Center Inc10 organizations share this tax ID, including this one
Part of
Vip Community Mental Health Center Inc

Other organizations with this tax ID 9

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

Locations

2730 Ganahl St
Los Angeles, CA 90033

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1699306340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 GRIFFIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900313312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 GANAHL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332019",
            "telephone_number": "323-221-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIP COMMUNITY MENTAL HEALTH CENTER, INC.",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "SCHIADA",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "323-221-4134"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Evergreen Elementary School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 31, 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.