NPIMap

Organization Active NPI

Dixon Recovery Institute, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
National Provider Identifier
1780814640
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190622AN Issued in CA
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Practice address
4066 W 17TH St
Module #1 & 2
Los Angeles, CA 90019-6025
Phone
(323) 988-3744
NPI assigned
Jul 24, 2009
Organization subpart
Yes
Parent organization
DIXON RECOVERY INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Ronda Dixon, JD
Title
Executive Director
Phone
(323) 988-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 190622AN CA Primary

Addresses

Primary practice location

4066 W 17TH St
Module #1 & 2
Los Angeles, CA 90019-6025

Mailing address

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233
Phone (323) 988-3744

Other identifiers 1

IdentifierTypeStateIssuer
7336OtherCADRUG MEDI-CAL

Other names 1

  • Central High School's Sojourner Truth Classroom Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Street13 organizations share this tax ID, including this one
Part of
Hope Street

Other organizations with this tax ID 12

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": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1780814640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431233",
            "telephone_number": "323-988-3744",
            "fax_number": "323-988-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 W 17TH ST",
            "address_2": "MODULE #1 & 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196025",
            "telephone_number": "323-988-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON RECOVERY INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXON RECOVERY INSTITUTE, INC.",
        "enumeration_date": "2009-07-24",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-988-3744",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190622AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL",
            "identifier": "7336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central High School's Sojourner Truth Classroom",
            "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 May 7, 2012; 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.