Organization Active NPI

Alta Centers, Inc.

Doing business as Alta Centers

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1790288009
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190852CP Issued in CA
Legal business name
ALTA CENTERS, INC.
Doing business as
Alta Centers
Alta Centers, Inc.
Practice address
6100 Rodgerton Dr
Los Angeles, CA 90068-1964
Phone
(818) 616-7443
Fax
(818) 301-2046
NPI assigned
Mar 13, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTA CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Anna Van Kovn
Title
Ceo
Phone
(818) 616-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190852CP CA Primary

Addresses

Primary practice location

6100 Rodgerton Dr
Los Angeles, CA 90068-1964

Mailing address

6100 Rodgerton Dr
Los Angeles, CA 90068-1964
Phone (818) 616-7443

Other practice location 1

2172 Argyle Ave
Los Angeles, CA 90068-2924
Phone (818) 616-7443

Other names 2

  • Alta Centers Doing business as
  • Alta Centers, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://altacenters.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2292075Alta Centers, Inc2172 Argyle Avenue, Los Angeles, CA 90068Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alta Centers Inc2 organizations share this tax ID, including this one
Part of
Alta Centers Inc

Other organizations with this tax ID 1

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

Locations

5435 Balboa Blvd
Encino, CA 91316
Phone (310) 922-0624

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1790288009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 RODGERTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681964",
            "telephone_number": "818-616-7443",
            "fax_number": "818-301-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 RODGERTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681964",
            "telephone_number": "818-616-7443",
            "fax_number": "818-301-2046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2172 Argyle Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900682924",
            "country_code": "US",
            "telephone_number": "818-616-7443",
            "fax_number": "818-301-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTA CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTA CENTERS, INC",
        "enumeration_date": "2018-03-13",
        "last_updated": "2025-09-12",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "VAN KOVN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-7443"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190852CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://altacenters.com",
            "affiliation": "N",
            "endpointDescription": "Company Info",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2172 Argyle Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900682924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alta Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alta Centers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.