VISTA DEL MAR CHILD AND FAMILY SVC. (NPI# 1992243380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992243380 |
| Entity Type | Organization |
| Organization Name | VISTA DEL MAR CHILD AND FAMILY SVC. |
| Other Organization Name | VISTA DEL MAR CH & FAM STRTP |
| Practice Address |
3200 Motor Ave Los Angeles CA 90034-3710 |
| Practice Telephone | 3108361223 |
| Practice Fax Number | 3102041405 |
| Mailing Telephone | 3108361223 |
| Mailing Fax Number | 3102041405 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | CHERYL CARRINGTON (DIRECTOR QUALITY, STANDARDS AND COM) |
| Authorized Official Telephone | 3108361223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Vista Del Mar Ch & Fam STRTP | Other Name - Individual/Organization |
| Street Address |
3200 MOTOR AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639260284 | Haylee Corrales | Rehabilitation Counselor | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2006-09-27 |
| 1932713815 | Kamal Sangha | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-09-08 |
| 1407460561 | Asha Benton | Licensed Vocational Nurse | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-09-04 |
| 1922612191 | Iyun Wang | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-09-03 |
| 1881208338 | Khanh Le Phu | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-09-02 |
| 1467066886 | Jennifer Brown | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-09-02 |
| 1104430933 | Amanda Dianne Martin | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-08-31 |
| 1457964256 | Amrik Birk | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-08-31 |
| 1346851490 | Helena Ruth Brown | Student in an Organized Health Care Education/Training Program | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-08-12 |
| 1154932226 | David Krom | Psychologist | 3200 Motor Ave, Los Angeles, CA 90034-3740 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1780129486 | Los Angeles Youth Network | Residential Treatment Facility, Emotionally Disturbed Children | 2471 N Beachwood Dr, Los Angeles, CA 90068-3004 | 2017-01-04 |
| 1245773290 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2016-11-23 |
| 1982147922 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 2122 W 107th St, Los Angeles, CA 90047-4305 | 2016-11-23 |
| 1306395454 | Deliann-lucile | Residential Treatment Facility, Emotionally Disturbed Children | 5800 Hannum Ave Ste 230, Los Angeles, CA 90230-6553 | 2016-09-30 |
| 1619400330 | Hamburger Home | Residential Treatment Facility, Emotionally Disturbed Children | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2017-04-10 |
| 1922548932 | Deliann-lucile Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1564 W 36th Pl, Los Angeles, CA 90018-4503 | 2017-02-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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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.