NPIMap

Organization Active NPI

Blvd Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1790156057
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BLVD CENTERS, INC.
Practice address
1608 Sawtelle Blvd
Los Angeles, CA 90025-3114
Phone
(855) 277-5363
NPI assigned
Oct 13, 2015
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Mr. Jason Monroe
Title
Coo
Phone
(602) 550-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1608 Sawtelle Blvd
Los Angeles, CA 90025-3114

Mailing address

PO Box 512030
Los Angeles, CA 90051-0030
Phone (855) 277-5363

National Provider Directory

National Provider Directory
Tax ID family
Blvd Centers Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1608 Sawtelle Blvd
Los Angeles, CA 90025
Phone (561) 515-3227

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1790156057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512030",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510030",
            "telephone_number": "855-277-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 SAWTELLE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253114",
            "telephone_number": "855-277-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-550-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "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 Jul 28, 2017; 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.