Active NPI
Good Neighbor Clinic Foundation
- Prevention Professional
- Los Angeles, CA
National Provider Identifier
1962352252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- GOOD NEIGHBOR CLINIC FOUNDATION
- Practice address
- 4300 Crenshaw Blvd
Los Angeles, CA 90008-4902 - Phone
- (323) 298-1668
- Fax
- (323) 298-0458
- NPI assigned
- Jan 28, 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
- Daniel Davidson
- Title
- Administrator
- Phone
- (323) 298-1668
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Worker | 172V00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Prevention Professional | 405300000X | Primary |
Addresses
Primary practice location
4300 Crenshaw Blvd
Los Angeles, CA 90008-4902
Mailing address
4300 Crenshaw Blvd
Los Angeles, CA 90008-4902
Phone (323) 298-1668
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1962352252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900084902",
"telephone_number": "323-298-1668",
"fax_number": "323-298-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900084902",
"telephone_number": "323-298-1668",
"fax_number": "323-298-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD NEIGHBOR CLINIC FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-298-1668"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Good Life Medical Services
- Good Neighbor Clinic & Urgent Care a Medical Corporation
- Good Neighbor Clinic a Medical Corporation
- Good Neighbor Clinic a Medical Corporation
- Good Neighbor Clinic Foundation
- Good Neighbor Clinics a Medical Group
- Good Price Corporation
- Good Rehab Physical Therapy Inc
- Good Samaritan Homecare Agency
- Good Samaritan Medical Practice Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.