NPIMap

Organization Active NPI

VA Greater Los Angeles Healthcare System

  • Adult Mental Health Clinic/Center
  • Gardena, CA
National Provider Identifier
1992956189
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
RN306586 Issued in CA
Legal business name
VA GREATER LOS ANGELES HEALTHCARE SYSTEM
Practice address
13603 S Mariposa Ave
Gardena, CA 90247-2005
Phone
(310) 719-7187
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mrs. Helen Bonanomi, MSN, RN, CARN
Title
Nurse Manager O/P Mental Health
Phone
(310) 471-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X RN306586 CA Primary

Addresses

Primary practice location

13603 S Mariposa Ave
Gardena, CA 90247-2005

Mailing address

13603 S Mariposa Ave
Gardena, CA 90247-2005
Phone (310) 719-7187

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1992956189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 S MARIPOSA AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472005",
            "telephone_number": "310-719-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 S MARIPOSA AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472005",
            "telephone_number": "310-719-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA GREATER LOS ANGELES HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BONANOMI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "NURSE MANAGER O/P MENTAL HEALTH",
        "authorized_official_telephone_number": "310-471-3711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN, CARN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "RN306586",
            "primary": true
        }
    ],
    "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 Oct 6, 2008; 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.