Organization Active NPI

California Health, Alcohol &. Drug Education Program, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1790903904
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2737106 Issued in CA
Legal business name
CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.
Practice address
3756 Santa Rosalia Dr. Ste. 423
Los Angeles, CA 90008-3614
Phone
(323) 294-7662
Fax
(323) 294-7703
NPI assigned
Apr 23, 2007
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
George C. Nze
Title
Executive Director
Phone
(951) 833-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2737106 CA Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr. Ste. 423
Los Angeles, CA 90008-3614

Mailing address

3756 Santa Rosalia Dr. Ste. 423
Los Angeles, CA 90008-3614
Phone (323) 294-7662

Other identifiers 1

IdentifierTypeStateIssuer
197015000OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
California Health Alcohol Drug Education Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3756 Santa Rosalia Dr
Ste 423
Los Angeles, CA 90008
Phone (323) 294-7662

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1790903904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR. STE. 423",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "323-294-7662",
            "fax_number": "323-294-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR. STE. 423",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "323-294-7662",
            "fax_number": "323-294-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "NZE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-833-8426"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "2737106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "197015000",
            "state": "CA"
        }
    ],
    "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 Nov 30, 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.