NPIMap

Organization Active NPI

Enki Health Services, Inc

  • Community/Behavioral Health Agency
  • City of Commerce, CA
National Provider Identifier
1861523540
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENKI HEALTH SERVICES, INC
Practice address
1436 Goodrich Blvd
City of Commerce, CA 90022-5111
Phone
(323) 725-1337
Fax
(323) 278-5344
NPI assigned
Mar 7, 2007
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mr. Darren Takemoto, CPA
Title
Cfo
Phone
(818) 973-4899

Specialties & licenses 1

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

Addresses

Primary practice location

1436 Goodrich Blvd
City of Commerce, CA 90022-5111

Mailing address

150 E Olive Ave
#203
Burbank, CA 91502-1846
Phone (818) 973-4899

Other identifiers 1

IdentifierTypeStateIssuer
000007253MedicaidCA

Other names 1

  • Enki-ELAMHS - Commerce Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040117000204 CA Part B Supplier - Clinic/Group Practice 8022926559 Receives reassigned benefits from 71 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bell Gardens, CA; Commerce, CA; El Monte, CA; La Puente, CA; Los Angeles, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Enki Health Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1861523540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E OLIVE AVE",
            "address_2": "#203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021846",
            "telephone_number": "818-973-4899",
            "fax_number": "818-973-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 GOODRICH BLVD",
            "city": "CITY OF COMMERCE",
            "state": "CA",
            "postal_code": "900225111",
            "telephone_number": "323-725-1337",
            "fax_number": "323-278-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENKI HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "TAKEMOTO",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-973-4899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enki-ELAMHS - Commerce",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Enki-ELAMHS - Commerce",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in City of Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.