Active NPI
Herminia E Galvez, SUD COUNSELOR
- Addiction (Substance Use Disorder) Counselor
- Lynwood, CA
National Provider Identifier
1780227207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1366181019
- Practice address
- 2620 Industry Way
Business
Lynwood, CA 90262 - Phone
- (323) 242-5000
- NPI assigned
- Oct 28, 2019
- Last updated
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1366181019 | CA | Primary |
Addresses
Primary practice location
2620 Industry Way
Business
Lynwood, CA 90262
Mailing address
2620 Industry Way
Business
Lynwood, CA 90262
Phone (323) 242-5000
Other practice location 1
8005 S. Figueroa Street
Business
Los Angeles, CA 90003
Phone (323) 564-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1366181019 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watts Healthcare Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The House of Uhuru
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1962733022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1780227207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 INDUSTRY WAY",
"address_2": "BUSINESS",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "323-242-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 INDUSTRY WAY",
"address_2": "BUSINESS",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "90262",
"telephone_number": "323-242-5000"
}
],
"practiceLocations": [
{
"address_1": "8005 S. Figueroa Street",
"address_2": "Business",
"address_purpose": "LOCATION",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90003",
"country_code": "US",
"telephone_number": "323-564-5400",
"fax_number": "323-752-8031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVEZ",
"first_name": "HERMINIA",
"middle_name": "E",
"credential": "SUD COUNSELOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2021-12-07",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1366181019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.