New Faith Transitional Living

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

A75693 Issued in CA

Legal business name

NEW FAITH TRANSITIONAL LIVING

Practice address

2233 W Rosecrans Ave
Gardena, CA 90249-2905

Phone

(310) 766-2500

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Alice Black

Title

Director

Phone

(310) 766-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Gardena Community Clinic Doing business as

Tax ID family

New Faith Transitional Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• New Faith Transitional Living

  • Family Medicine Physician
  • Gardena, CA
  • NPI 1760868418
  NPD tax ID
• West Gardena Community Clinic

  • Point of Service
  • Gardena, CA
  • NPI 1538575303
  NPD tax ID

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1902286644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W ROSECRANS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492905",
            "telephone_number": "310-766-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W ROSECRANS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492905",
            "telephone_number": "310-766-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FAITH TRANSITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-766-2500"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "A75693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A75693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Gardena Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Victoria Nettles
• Juan Netto
• Neuro Fitness Medical Corporation
• Dodrey Nevens
• New Faith Transitional Living
• Hannah Lin Yudong Newby
• Maria Elena Newcomer, DDS
• Christina Marie Newport
• Next Move Best Move
• Next Move Best Move

• Community Health Clinic/Center in Gardena, CA
• Providers in Gardena, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.