VIP COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1699306340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699306340 |
| Entity Type | Organization |
| Organization Name | VIP COMMUNITY MENTAL HEALTH CENTER, INC. |
| Practice Address |
2730 Ganahl St Los Angeles CA 90033-2019 |
| Mailing Address |
1721 Griffin Ave Los Angeles CA 90031-3312 |
| Practice Telephone | 3232214134 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | DUSTIN SCHIADA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3232214134 |
| Is Organization Subpart | Y |
| Parent Organization Name | VIP COMMUNITY MENTAL HEALTH CENTER, INC. |
| 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 |
|---|---|
| VIP Evergreen Elementary School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578076170 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 309 Lucas Ave, Los Angeles, CA 90017-2062 | 2017-11-06 |
| 1306267190 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 211 South Ave 20, Los Angeles, CA 90031-2508 | 2013-12-20 |
| 1508938648 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 1721 Griffin Ave, Los Angeles, CA 90031-3062 | 2006-11-14 |
| 1689187288 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 4500 Multnomah St, Los Angeles, CA 90032-3703 | 2017-11-06 |
| 1962831990 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 456 S Mathews St, Theodore Roosevelt High School, Los Angeles, CA 90033-4326 | 2013-11-12 |
| 1508189341 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 4024 Durfee Ave, El Monte, CA 91732-2510 | 2010-03-08 |
| 1962725705 | Vip Community Mental Health Center, Inc. | Community/Behavioral Health | 2010 Zonal Ave, Los Angeles, CA 90033-1026 | 2010-03-08 |
| Street Address |
2730 GANAHL ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1912478348 | Los Angeles County Department of Mental Health | Clinic/Center | 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| 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.