NPIMap

Organization Active NPI

Blueberry Way

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1770437618
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BLUEBERRY WAY
Practice address
1653 S Rimpau Blvd
Los Angeles, CA 90019-5658
Phone
(818) 613-3277
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Vitali Alkabetz
Title
Ceo
Phone
(818) 613-3277

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1653 S Rimpau Blvd
Los Angeles, CA 90019-5658

Mailing address

11853 S. Inglewood Blvd.
Hawthorne, CA 90250

Other practice location 1

1651 S Rimpau Blvd
Los Angeles, CA 90019-5658
Phone (818) 613-3277

Other practice location 2

4802 St. Charles Place
los angeles, CA 90019
Phone (818) 613-3277

National Provider Directory

National Provider Directory

Locations

11853 Inglewood Ave
Hawthorne, CA 90250

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1770437618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11853 S. INGLEWOOD BLVD.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 S RIMPAU BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195658",
            "telephone_number": "818-613-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 S Rimpau Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900195658",
            "country_code": "US",
            "telephone_number": "818-613-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4802 St. Charles Place",
            "address_purpose": "LOCATION",
            "city": "los angeles",
            "state": "CA",
            "postal_code": "90019",
            "country_code": "US",
            "telephone_number": "818-613-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEBERRY WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "ALKABETZ",
        "authorized_official_first_name": "VITALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-613-3277"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2026; 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.