NPIMap

Organization Active NPI

West Coast Drug & Alcohol Program

  • Substance Abuse Rehabilitation Facility
  • Van Nuys, CA
National Provider Identifier
1720411564
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WEST COAST DRUG & ALCOHOL PROGRAM
Practice address
6850 Van Nuys Blvd
Suite 125
Van Nuys, CA 91405-4640
Phone
(818) 908-1740
Fax
(818) 908-3336
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Amalia Mastrodomenico
Title
Counselor
Phone
(818) 908-1740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6850 Van Nuys Blvd
Suite 125
Van Nuys, CA 91405-4640

Mailing address

6850 Van Nuys Blvd
Suite 125
Van Nuys, CA 91405-4640
Phone (818) 908-1740

National Provider Directory

National Provider Directory
Tax ID family
West Coast Drug and Alcohol Education Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1720411564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD",
            "address_2": "SUITE 125",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054640",
            "telephone_number": "818-908-1740",
            "fax_number": "818-908-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD",
            "address_2": "SUITE 125",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054640",
            "telephone_number": "818-908-1740",
            "fax_number": "818-908-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST DRUG & ALCOHOL PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MASTRODOMENICO",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "818-908-1740"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.