NPIMap

Organization Active NPI

Vista del Mar Child and Family SVC.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1992243380
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
VISTA DEL MAR CHILD AND FAMILY SVC.
Practice address
3321 Edith St
Los Angeles, CA 90064-4736
Phone
(310) 836-1223
Fax
(310) 204-1405
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Cheryl Carrington
Title
Director Quality, Standards and Com
Phone
(310) 836-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3321 Edith St
Los Angeles, CA 90064-4736

Mailing address

3200 Motor Ave
Los Angeles, CA 90034-3710
Phone (310) 836-1223

Other names 1

  • Vista Del Mar Ch & Fam STRTP Other name

National Provider Directory

National Provider Directory
Tax ID family
Vista del Mar Child and Family Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3321 Edith St
Los Angeles, CA 90064
Phone (310) 202-0669

3200 Motor Ave
Los Angeles, CA 90034
Phone (310) 204-1666

Practitioners & affiliated clinicians

Practitioners 2

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": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1992243380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343710",
            "telephone_number": "310-836-1223",
            "fax_number": "310-204-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 EDITH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644736",
            "telephone_number": "310-836-1223",
            "fax_number": "310-204-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DEL MAR CHILD AND FAMILY SVC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR QUALITY, STANDARDS AND COM",
        "authorized_official_telephone_number": "310-836-1223"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Del Mar Ch & Fam STRTP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vista Del Mar Ch & Fam STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.