SPECIAL SERVICE FOR GROUPS (NPI# 1629190061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629190061 |
| Entity Type | Organization |
| Organization Name | SPECIAL SERVICE FOR GROUPS |
| Other Organization Name | SSG-TESSIE CLEVELAND CSC |
| Practice Address |
8019 S. Compton Ave Suite 106 Los Angeles CA 90001-3409 |
| Mailing Address |
905 E 8th St Los Angeles CA 90021-1848 |
| Practice Telephone | 3235867333 |
| Mailing Telephone | 2135531800 |
| Mailing Fax Number | 2135531822 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | HERBERT HATANAKA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2135531800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SSG-Tessie Cleveland CSC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003060518 | Special Service for Groups | Clinic/Center | 5811 S San Pedro St, Los Angeles, CA 90011-5323 | 2008-11-11 |
| 1073703252 | Special Service for Groups | Clinic/Center | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | 2007-07-25 |
| 1639391410 | Special Service for Groups | Community/Behavioral Health | 515 Columbia Ave Ste 310, Los Angeles, CA 90017-1209 | 2007-05-02 |
| 1518180348 | Special Service for Groups | Case Management | 1047 W 24th St, Los Angeles, CA 90007-1816 | 2007-04-10 |
| 1972625234 | Special Service for Groups | Clinic/Center | 231 E 3rd St, Suite G106, Los Angeles, CA 90013-1494 | 2007-04-05 |
| 1427170869 | Special Service for Groups | Case Management | 4801 2nd Ave, Los Angeles, CA 90043-1901 | 2007-04-05 |
| 1073635330 | Special Service for Groups | Case Management | 2125 Santa Fe Ave, Long Beach, CA 90810-3547 | 2007-04-05 |
| 1720100159 | Special Service for Groups | Clinic/Center | 9353 E Valley Blvd, Rosemead, CA 91770-1934 | 2007-04-05 |
| 1104940584 | Special Service for Groups | Clinic/Center | 1040 E Wardlow Rd, Long Beach, CA 90807-4708 | 2007-03-19 |
| 1003947904 | Special Service for Groups | Clinic/Center | 1635 W Main St Ste 100, Alhambra, CA 91801-1951 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECIAL SERVICE FOR GROUPS (SSG) | 905 E 8th St, Los Angeles, CA 90021-1848 |
| Street Address |
8019 S. COMPTON AVE SUITE 106 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90001-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297741 | Nicholas Moccardini | Rehabilitation Practitioner | 8019 S. Compton Ave, Los Angeles, CA 90001-3104 | 2020-02-17 |
| 1134761430 | Natalia Manzary | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001 | 2019-10-08 |
| 1528626082 | Lorena Rivera | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001 | 2019-05-30 |
| 1245769520 | Daniel Calderon | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001 | 2017-06-08 |
| 1750821435 | Shantea Speed | Rehabilitation Practitioner | 8019 S. Compton Ave, Los Angeles, CA 90001 | 2017-03-01 |
| 1639521602 | Christie Barboza | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001-3409 | 2016-07-01 |
| 1679925655 | Jennifer Burgos | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001-3409 | 2016-07-01 |
| 1922455849 | Kyle Hinson | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001-3409 | 2016-05-20 |
| 1033566963 | Rachel Taylor | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001-3409 | 2016-05-20 |
| 1508232935 | Ting Ting Jiang | Counselor | 8019 S. Compton Ave, Los Angeles, CA 90001 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722539 | Lisa Crockom | Technician | 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 | 2019-10-24 |
| 1679047229 | Rosario Montes | Behavior Technician | 6907 Hooper Ave, Los Angeles, CA 90001 | 2019-01-16 |
| 1467902031 | Fun Dental 4 Kids 2 | Dentist | 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 | 2016-10-07 |
| 1295100709 | Central City Community Health Center | Clinic/Center | 1236 E Florence Ave, Los Angeles, CA 90001 | 2015-12-09 |
| 1437596327 | Natasha Nasha Andrews | Clinic/Center | 1620 E. 83rd Street, Los Angeles, CA 90001 | 2013-05-31 |
| 1679827943 | Denise Michelle Betters | Counselor | 8019 S Compton Ave., Los Angeles, CA 90001 | 2012-11-07 |
| 1790050763 | Animo Locke Tech Charter High School | Community/Behavioral Health | 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 | 2012-03-09 |
| 1093021602 | Larthia Renard Dunham | Social Worker | 8019 S. Compton Blvd., Los Angeles, CA 90001 | 2010-08-20 |
| 1114258761 | Central City Comm Hlt Ctr Mobile Unit | General Practice | 5986 Central Avenue, Los Angeles, CA 90001 | 2010-01-21 |
| 1457688517 | Yesenia Cruz | Dental Assistant | 1119 E 64th St., Los Angeles, CA 90001 | 2009-11-11 |
| Find all providers in zip 90001 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1023633864 | Andrea Forcina | Clinic/Center | 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 | 2020-06-08 |
| 1831710706 | Beyond Cancer Family Therapy Inc | Clinic/Center | 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 | 2020-05-02 |
| 1518599851 | Vip Community Mental Health Center, Inc | Clinic/Center | 2820 E 1st St, Los Angeles, CA 90033-3636 | 2020-02-05 |
| 1699306340 | Vip Community Mental Health Center, Inc. | Clinic/Center | 2730 Ganahl St, Los Angeles, CA 90033-2019 | 2020-01-31 |
| 1629618350 | Ustawi | Clinic/Center | 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 | 2020-01-10 |
| 1073158622 | Los Angeles County Department of Mental Health | Clinic/Center | 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 | 2019-11-07 |
| 1790327179 | Otc LLC | Clinic/Center | 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 | 2019-10-17 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1427515246 | Los Angeles County Department of Mental Health | Clinic/Center | 11110 W Pico Blvd, Los Angeles, CA 90064-1709 | 2019-02-28 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90001 |
Please comment or provide details below to improve the information on SPECIAL SERVICE FOR GROUPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.