American Health Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

19 140 Issued in CA

Legal business name

AMERICAN HEALTH SERVICES LLC

Practice address

5015 W Pico Blvd
Los Angeles, CA 90019-4127

Phone

(323) 653-1677

Fax

(323) 653-1691

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Pramesh P Sharma

Title

Administarive Director

Phone

(661) 254-6630

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hollywood Medical and Mental Health Serivces Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• American Health Services LLC

  • Methadone Clinic
  • Bakersfield, CA
  • NPI 1073944591

  O20200418000109

  Same enrollment
• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Venice, CA
  • NPI 1366512550

  O20200418000109

  Same enrollment
• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bakersfield, CA
  • NPI 1528138872

  O20200418000109

  Same enrollment
• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Palmdale, CA
  • NPI 1861562019

  O20200418000109

  Same enrollment
• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hawaiian Gardens, CA
  • NPI 1861562068

  O20200418000109

  Same enrollment
• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Van Nuys, CA
  • NPI 1891865069

  O20200418000109

  Same enrollment

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1881764033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801809",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913801809",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194127",
            "telephone_number": "323-653-1677",
            "fax_number": "323-653-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "PRAMESH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTARIVE DIRECTOR",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "19 140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6734",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70052F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Medical and Mental Health Serivces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.