Active NPI
St. Anne'S Maternity Home
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1881893790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- ST. ANNE'S MATERNITY HOME
- Practice address
- 155 N Occidental Blvd
Los Angeles, CA 90026-4641 - Phone
- (213) 381-2931
- Fax
- (213) 381-7804
- NPI assigned
- Jul 12, 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
- Mr. Dana Anthony Walker, M.A.
- Title
- President and Ceo
- Phone
- (213) 381-2931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Mailing address
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7666 | Other | CA | LA COUNTY DMH PROVIDER # |
National Provider Directory
National Provider Directory- Tax ID family
- St Anne'S Family Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1134255458
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1255288916
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1457723777
-
- Mental Illness Community Based Residential Treatment Facility
- Los Angeles, CA
- NPI 1780116632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881893790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-381-2931",
"fax_number": "213-381-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-381-2931",
"fax_number": "213-381-7804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ANNE'S MATERNITY HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "213-381-2931",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA COUNTY DMH PROVIDER #",
"identifier": "7666",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Aug 22, 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.