NPIMap

Organization Active NPI

South Bay Children's Health Center

  • Mental Health Counselor
  • Redondo Beach, CA
National Provider Identifier
1982721916
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
960000038 Issued in CA
Legal business name
SOUTH BAY CHILDREN'S HEALTH CENTER
Practice address
410 South Camino Real
Redondo Beach, CA 90277-3815
Phone
(310) 316-1212
Fax
(310) 316-4411
NPI assigned
Mar 23, 2007
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Ms. Christina J Harris
Title
Executive Director
Phone
(310) 316-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 960000038 CA Primary

Addresses

Primary practice location

410 South Camino Real
Redondo Beach, CA 90277-3815

Mailing address

410 South Camino Real
Redondo Beach, CA 90277-3815
Phone (310) 316-1212

Other identifiers 1

IdentifierTypeStateIssuer
000007220OtherCAMEDI-CAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
South Bay Children's Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1982721916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SOUTH CAMINO REAL",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773815",
            "telephone_number": "310-316-1212",
            "fax_number": "310-316-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SOUTH CAMINO REAL",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773815",
            "telephone_number": "310-316-1212",
            "fax_number": "310-316-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY CHILDREN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-316-1212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "960000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL NUMBER",
            "identifier": "000007220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.