Active NPI
Wellnest Emotional Health & Wellness
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1821112764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WELLNEST EMOTIONAL HEALTH & WELLNESS
- Practice address
- 3787 S Vermont Ave
Los Angeles, CA 90007 - Phone
- (323) 766-2345
- NPI assigned
- Mar 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Socorro Gertmenian, PHD, MLS
- Title
- Director of QMC
- Phone
- (323) 373-2400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
3787 S Vermont Ave
Los Angeles, CA 90007
Mailing address
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Other practice location 1
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone (323) 766-2345 ext. 2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT052192 | Medicaid | CA |
Other names 2
- Los Angeles Child Guidance Clinic
- Wellnest - Exposition Park
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@wellnestla.org | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Avis and Mark Ridley-Thomas Life Learning Center LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1346872728
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1619091220
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1801065438
Locations
3031 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 766-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1821112764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90007",
"telephone_number": "323-766-2345"
}
],
"practiceLocations": [
{
"address_1": "3787 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900074203",
"country_code": "US",
"telephone_number": "323-766-2345 x2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLNEST EMOTIONAL HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-17",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "GERTMENIAN",
"authorized_official_first_name": "SOCORRO",
"authorized_official_title_or_position": "DIRECTOR OF QMC",
"authorized_official_telephone_number": "323-373-2400",
"authorized_official_credential": "PHD, MLS"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CT052192",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@wellnestla.org",
"affiliation": "N",
"endpointDescription": "Organization email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3787 S Vermont Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900074203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Los Angeles Child Guidance Clinic",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Wellnest - Exposition Park",
"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 Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.