NPIMap

Organization Active NPI

310 Recovery

  • Substance Abuse Rehabilitation Facility
  • Culver City, CA
National Provider Identifier
1922456359
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190905AP Issued in CA
Legal business name
310 RECOVERY
Practice address
10533 Washington Blvd
Culver City, CA 90232-3311
Phone
(818) 208-5695
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Valentin Gasparyan
Title
Director
Phone
(818) 208-5695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190905AP CA Primary

Addresses

Primary practice location

10533 Washington Blvd
Culver City, CA 90232-3311

Mailing address

10533 Washington Blvd
Culver City, CA 90232-3311

Other identifiers 1

IdentifierTypeStateIssuer
190905APOtherCADEPARTMENT OF HEALTH CARE SERVICES

National Provider Directory

National Provider Directory
Tax ID family
310 Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1922456359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10533 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10533 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323311",
            "telephone_number": "818-208-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "310 RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "GASPARYAN",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-208-5695"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190905AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH CARE SERVICES",
            "identifier": "190905AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.