LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (NPI# 1851509574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851509574 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | SOUTH BAY MHS -- WELLNESS CENTER |
| Practice Address |
1300 W 155th St Suite 103 Gardena CA 90247-4048 |
| Mailing Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 3105128100 |
| Mailing Telephone | 2137384601 |
| Mailing Fax Number | 2133861297 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DR. JONATHAN E. SHERIN (DIRECTOR) |
| Authorized Official Telephone | 2137384601 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7758 | 05 |
| Other Name | Type Code |
|---|---|
| South Bay MHS -- Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1760003859 | Los Angeles County Department of Mental Health | Clinic/Center | 1000 W Avenue J, Lancaster, CA 93534-3329 | 2020-04-30 |
| 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 |
| 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 |
| 1396202438 | Los Angeles County Department of Mental Health | Clinic/Center | 15777 Bowdoin St # J110a, Pacific Palisades, CA 90272-3523 | 2019-02-25 |
| 1912478348 | Los Angeles County Department of Mental Health | Clinic/Center | 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 | 2018-12-11 |
| 1609368323 | Los Angeles County Department of Mental Health | Clinic/Center | 780 N San Vicente Blvd Rm 217, West Hollywood, CA 90069-5021 | 2018-05-30 |
| 1033632468 | Los Angeles County Department of Mental Health | Clinic/Center | 1 W Manchester Blvd, Inglewood, CA 90301-1764 | 2017-07-18 |
| 1265955694 | Los Angeles County Department of Mental Health | Clinic/Center | 200 N Pacific Coast Hwy, Redondo Beach, CA 90277-3150 | 2017-07-18 |
| Street Address |
1300 W 155TH ST SUITE 103 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689610768 | Cheryl J Hanks | Physical Therapist | 1300 W 155th St, Suite 203, Gardena, CA 90247 | 2006-06-20 |
| 1588110803 | Sirach Acupuncture Inc | Acupuncturist | 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 | 2016-08-28 |
| 1629350178 | Stance Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 1300 W 155th St, Suite 106, Gardena, CA 90247-4048 | 2011-09-11 |
| 1508164328 | La County Department of Mental Health | Rehabilitation Practitioner | 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 | 2011-03-02 |
| 1306140637 | Rivy Olasumbo Oseni | Nurse Practitioner | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-12-30 |
| 1932409281 | Janice Gregory | Registered Nurse | 1300 W 155th St, 103, Gardena, CA 90247-4048 | 2010-11-02 |
| 1932421484 | Cre-sha A Beverly | Counselor | 1300 W 155th St, Gardena, CA 90247-4048 | 2010-02-25 |
| 1295057792 | Gary David Barnett | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2010-02-24 |
| 1629302948 | Etna L Gonzalez | Registered Nurse | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-09-21 |
| 1629211396 | Deanna Marie King | Counselor | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| 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 |
|---|---|---|---|---|
| 1376576900 | Los Angeles County Department of Mental Health | Clinic/Center | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-07-08 |
| 1568652915 | City of Gardena | Clinic/Center | 2320 W 149th St, Gardena, CA 90249-3702 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.