NPIMap

Organization Active NPI

Blessed Drug&Alcohol Treatment and Research Program Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
National Provider Identifier
1902941875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190402AP Issued in CA
Legal business name
BLESSED DRUG&ALCOHOL TREATMENT AND RESEARCH PROGRAM INC.
Practice address
8407 S Vermont Ave
Los Angeles, CA 90044-3423
Phone
(323) 971-1325
Fax
(323) 971-1365
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Moses Ugochukwu AnusiemNPI 1083833750
Title
Ceo
Phone
(323) 971-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 190402AP CA Primary

Addresses

Primary practice location

8407 S Vermont Ave
Los Angeles, CA 90044-3423

Mailing address

8407 S Vermont Ave
Los Angeles, CA 90044-3423
Phone (323) 971-1325

Other identifiers 1

IdentifierTypeStateIssuer
7064MedicaidCA

National Provider Directory

National Provider Directory

Locations

8407 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 971-1325

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902941875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443423",
            "telephone_number": "323-971-1325",
            "fax_number": "323-971-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443423",
            "telephone_number": "323-971-1325",
            "fax_number": "323-971-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED DRUG&ALCOHOL TREATMENT AND RESEARCH PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANUSIEM",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "UGOCHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-971-1325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190402AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7064",
            "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.

Verify at the official NPI Registry.