ASC Treatment Group

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

ASC TREATMENT GROUP

Doing business as

Anne Sippi Clinic

Practice address

2457 Endicott St
Los Angeles, CA 90032-3098

Phone

(323) 227-5252

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donetta Jackson, MFT

Title

Administrator

Phone

(323) 318-2520

Specialties & licenses 1

Addresses

Other names 1

• Anne Sippi Clinic Doing business as

Tax ID family

Anne Sippi Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• ASC Riverside Ranch - River House

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1154536688
  NPD tax ID
• ASC Treatment Group

  • Community/Behavioral Health Agency
  • North Hollywood, CA
  • NPI 1003942970
  NPD tax ID

Locations

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1821625138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 ENDICOTT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323047",
            "telephone_number": "323-227-5252",
            "fax_number": "323-227-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 ENDICOTT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323098",
            "telephone_number": "323-227-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC TREATMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-318-2520",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Sippi Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mher Asatryan
• Mike Grigor Asatryan, D.D.S
• Skulpan Asavasopon, PT
• Paige E. Asawa, LMFT
• Brittney Teniel Asbury, LVN
• Andy Ascencio
• Claudia Ascencio
• Daysi Mariana Ascencio, AMFT
• Emily Ascencio
• Leslie Renee Ascencio, NP

• Psychiatric Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.