249G Acres

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

249G ACRES

Practice address

9165 S Normandie Ave
Los Angeles, CA 90044-2061

Phone

(323) 251-1794

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Rita Riddick

Title

Ceo

Phone

(323) 251-1794

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1811635501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 S NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442061",
            "telephone_number": "323-251-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 S NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442061",
            "telephone_number": "323-251-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "249G ACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "RIDDICK",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-251-1794",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rriddick@249gacres.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9169 S Normandie Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900442061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.