Active NPI
Elmore Gildersleeve
- Community Health Worker
- Los Angeles, CA
National Provider Identifier
1891937918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008-1821 - Phone
- (233) 593-5300
- NPI assigned
- Apr 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Mailing address
3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (233) 593-5300
Other practice location 1
10012 Norwalk Blvd
110
Santa Fe Springs, CA 90670-3343
Phone (562) 906-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ASC Treatment Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- North Hollywood, CA
- NPI 1003942970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1891937918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "233-593-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081821",
"telephone_number": "233-593-5300"
}
],
"practiceLocations": [
{
"address_1": "10012 Norwalk Blvd",
"address_2": "110",
"address_purpose": "LOCATION",
"city": "Santa Fe Springs",
"state": "CA",
"postal_code": "906703343",
"country_code": "US",
"telephone_number": "562-906-1335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILDERSLEEVE",
"first_name": "ELMORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.