CENTRAL STAR LAC-USC CRTP
NPI 1306571096
Community/Behavioral Health in Los Angeles, CA

NPI Status: Active since July 18, 2022

Contact Information

1774 ZONAL AVE BLDG C
LOS ANGELES, CA
ZIP 90033
Phone: (310) 221-6336

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D2277072
  • CLIA Cert. Type: Other - CRISIS RESIDENT TREAT
  • CLIA Exp. Date: 02-20-2027

About CENTRAL STAR LAC-USC CRTP

This page provides the complete NPI Profile along with additional information for Central Star Lac-usc Crtp, a provider established in Los Angeles, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1306571096 assigned on July 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Central Star Lac-usc Crtp. The authorized official of this NPI record is Kent Dunlap (President And Chief Executive Offic)

NPI
1306571096
Provider Legal Name
CENTRAL STAR BEHAVIORAL HEALTH, INC.
Other Organization Name
CENTRAL STAR LAC-USC CRTP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1774 ZONAL AVE BLDG C LOS ANGELES, CA 90033
Location Phone
(310) 221-6336
Mailing Address
1501 HUGHES WAY STE 150 LONG BEACH, CA 90810
Mailing Phone
(310) 221-6336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2022
Last Update Date
07-24-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENT DUNLAP

Authorized Official Title
PRESIDENT AND CHIEF EXECUTIVE OFFIC
Authorized Official Phone
(310) 221-6336

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2277072
Facility Type
Other - CRISIS RESIDENT TREAT
Certificate Effective Date
February 21, 2025
Certificate Expiration Date
February 20, 2027
Laboratory Director
WEIMING CHU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Star Lac-usc Crtp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENTRAL STAR LAC-USC CRTP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306571096
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061072018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 0 + 7 + 2 + 0 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1306571096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265059208 STEPHANIE REYES
Individual
Case Manager/Care Coordinator1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1295330256 CANESHA MONIQUE MILLER
Individual
Licensed Vocational Nurse1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1942327812 NICOLE EVETTE MORRIS
Individual
Social Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1053099499 ALYSSA ASHLEY THOMAS
Individual
Rehabilitation Practitioner1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1316720931 MARTHA ARELLANO
Individual
Case Manager/Care Coordinator1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1487337911 JENNIFER GABRIELA APARICIO
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1003513557 MARISSA LEE LUBAG
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1508499062 KING OTHA
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1982269734 DASHAIJA DESIREE FLOYD
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1306613468 BRITTANY RAMIREZ MORTENSEN
Individual
Licensed Vocational Nurse1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1609486000 TAYLOR LYNN RICHARDS
Individual
Marriage & Family Therapist1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1306600937 EMMANUEL AKINGBULU
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1144086448 MALEENAH ITZEL VERA
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1891551537 ISAIAH PHILLIP EATMAN
Individual
Licensed Vocational Nurse1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1144662974 GREGORY WAYNE MORRISON LVN
Individual
Licensed Vocational Nurse1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1922798867 NOEMI AGUILAR-LOPEZ
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1114776580 DESTINY RAZO
Individual
Community Health Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1245079102 JOYCE ILUSTRISIMO ABELLA
Individual
Licensed Vocational Nurse1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1982443776 SEJIN YEH
Individual
Social Worker1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336
1134632722 ARIJE RABHI LMFT
Individual
Marriage & Family Therapist1774 ZONAL AVE BLDG C
LOS ANGELES, CA 90033
(310) 221-6336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306571096, enumerated in the NPI registry as an "organization" on July 18, 2022

The provider is located at 1774 Zonal Ave Bldg C Los Angeles, Ca 90033 and the phone number is (310) 221-6336

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 05D2277072 for a "other - crisis resident treat" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 18, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.