Organization Active NPI

U-Turn Drug Education Program

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1780803411
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
560003DN Issued in CA
Legal business name
U-TURN DRUG EDUCATION PROGRAM
Practice address
3761 Stocker St
Suite 105
Los Angeles, CA 90008-5111
Phone
(323) 294-4261
Fax
(323) 294-7261
NPI assigned
Apr 24, 2007
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Janice VarnadoeNPI 1083833784
Title
Executive Director
Phone
(310) 462-5028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 560003DN CA Primary

Addresses

Primary practice location

3761 Stocker St
Suite 105
Los Angeles, CA 90008-5111

Mailing address

17420 Avalon Blvd Ste 100
Carson, CA 90746-1564
Phone (310) 462-5028

National Provider Directory

National Provider Directory

Locations

17420 Avalon Blvd
Ste 100
Carson, CA 90746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1780803411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17420 AVALON BLVD STE 100",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461564",
            "telephone_number": "310-462-5028",
            "fax_number": "310-532-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 STOCKER ST",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085111",
            "telephone_number": "323-294-4261",
            "fax_number": "323-294-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U-TURN DRUG EDUCATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "VARNADOE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-462-5028"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "560003DN",
            "primary": true
        }
    ],
    "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 Aug 19, 2022; 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.