Active NPI
Self Determined Futures LLC
- Case Manager/Care Coordinator
- Gardena, CA
National Provider Identifier
1932016565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- SELF DETERMINED FUTURES LLC
- Practice address
- 18726 S Western Ave Ste 415
Gardena, CA 90248-3858 - Phone
- (562) 335-7867
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebony Montgomery, MBA
- Title
- Ceo
- Phone
- (562) 335-7867
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Prison Health Clinic/Center | 261QP2400X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
18726 S Western Ave Ste 415
Gardena, CA 90248-3858
Mailing address
18726 S Western Ave Ste 415
Gardena, CA 90248-3858
Phone (562) 335-7867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1932016565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 415",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "562-335-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 415",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "562-335-7867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELF DETERMINED FUTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "EBONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-335-7867",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.