NPIMap

Organization Active NPI

Special Service for Groups, Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1831753615
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPECIAL SERVICE FOR GROUPS, INC.
Practice address
4601 S Broadway Avenue
Los Angeles, CA 90037-2729
Phone
(213) 223-5922
Fax
(323) 897-5334
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Herbert K Hatanaka
Title
Executive Director
Phone
(213) 553-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4601 S Broadway Avenue
Los Angeles, CA 90037-2729

Mailing address

905 E 8TH St
Los Angeles, CA 90021-1848
Phone (213) 553-1800

Other names 1

  • SSG Project 180 SOLA Other name

National Provider Directory

National Provider Directory
Tax ID family
Special Service for GRP40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

4601 S Broadway
Los Angeles, CA 90037
Phone (213) 223-5922

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1831753615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211848",
            "telephone_number": "213-553-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S BROADWAY AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372729",
            "telephone_number": "213-223-5922",
            "fax_number": "323-897-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HATANAKA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-553-1800"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSG Project 180 SOLA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SSG Project 180 SOLA",
            "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 Oct 27, 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.