NPIMap

Organization Active NPI

Prototypes Centers for Innovation in Health, MH, & Social Services

  • Community/Behavioral Health Agency
  • El Monte, CA
National Provider Identifier
1902109820
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MH, & SOCIAL SERVICES
Practice address
11100 Valley Blvd
Suite 116
El Monte, CA 91731-2500
Phone
(626) 444-0705
Fax
(626) 444-0710
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Ms. Cassandra Loch, LCSW, MBA
Title
President and Ceo
Phone
(213) 542-3838

Specialties & licenses 1

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

Addresses

Primary practice location

11100 Valley Blvd
Suite 116
El Monte, CA 91731-2500

Mailing address

1000 N Alameda St
Suite 390
Los Angeles, CA 90012-1804
Phone (213) 542-3838

Other names 1

  • PROTOTYPES Centers for Innovation in Health, MH, & Social Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Prototypes Womens Center Outpatient10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1902109820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALAMEDA ST",
            "address_2": "SUITE 390",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121804",
            "telephone_number": "213-542-3838",
            "fax_number": "213-225-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD",
            "address_2": "SUITE 116",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312500",
            "telephone_number": "626-444-0705",
            "fax_number": "626-444-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MH, & SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "LOCH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "213-542-3838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROTOTYPES Centers for Innovation in Health, MH, & Social Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.