NPIMap

Organization Active NPI

Los Angeles Drug Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Inglewood, CA
National Provider Identifier
1942407960
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190561AP Issued in CA
Legal business name
LOS ANGELES DRUG TREATMENT CENTER
Practice address
3211 West Imperial Hwy
Same As Mailing Address
Inglewood, CA 90303
Phone
(310) 419-9616
Fax
(310) 419-9617
NPI assigned
Jul 2, 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. Samuel A Adeleye, D,O,NPI 1164654448
Title
President
Phone
(310) 419-9616

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 190561AP CA Primary

Addresses

Primary practice location

3211 West Imperial Hwy
Same As Mailing Address
Inglewood, CA 90303

Mailing address

3211 West Imperial Hwy
Inglewood, CA 90303
Phone (310) 419-9616

National Provider Directory

National Provider Directory

Locations

3211 W Imperial Hwy
Inglewood, CA 90303
Phone (310) 419-9616

Practitioners & affiliated clinicians

Practitioners 5

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942407960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 WEST IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90303",
            "telephone_number": "310-419-9616",
            "fax_number": "310-419-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 WEST IMPERIAL HWY",
            "address_2": "SAME AS MAILING ADDRESS",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90303",
            "telephone_number": "310-419-9616",
            "fax_number": "310-419-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DRUG TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-419-9616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D,O,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190561AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, 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.