VENICE
NPI 1366512550
Clinic/Center - Rehabilitation, Substance Use Disorder in Venice, CA

NPI Status: Active since November 08, 2006

Contact Information

717 LINCOLN BLVD
VENICE, CA
ZIP 90291
Phone: (310) 399-9883
Fax: (310) 399-9678

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About VENICE

This page provides the complete NPI Profile along with additional information for Venice, a provider established in Venice, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1366512550 assigned on November 2006. The practitioner's primary taxonomy code is 261QR0405X with license number 19 142 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Venice. The authorized official of this NPI record is Seanjay R Sharma (C E O)

NPI
1366512550
Provider Legal Name
AMERICAN HEALTH SERVICES LLC
Other Organization Name
VENICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
717 LINCOLN BLVD VENICE, CA 90291
Location Phone
(310) 399-9883
Location Fax
(310) 399-9678
Mailing Address
PO BOX 801809 VALENCIA, CA 91380
Mailing Phone
(661) 254-6630
Mailing Fax
(310) 399-9678
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2006
Last Update Date
04-01-2020
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
19 142
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SEANJAY R SHARMA

Authorized Official Title
C E O
Authorized Official Phone
(661) 254-6630

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
19-142MEDICAID (05)CA 
6737MEDICAID (05)CA 
HDC70055FMEDICAID (05)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 580 times for 33 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

This service was performed 422 times for 26 patients

Reviews for VENICE

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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.
1366512550
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261014510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 1 + 4 + 5 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1366512550 is valid because the calculated check digit 0 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
1407043185 GERTRUDE BRIGGS
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1154518835 TY'SHUNNA JACKSON
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1508053281 BLANCA ROMERO
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1700074291 MARIO MUCETTI
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1598953812 VIVIAN BROWN
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1811149503 DENISE WILSON
Individual
Counselor717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1740562081MR. FARGO MICHAEL LIVINGSTON B.A.
Individual
Community Health Worker717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1689067894 STAN CARL PERRYMAN II AOD COUNSELOR
Individual
Case Manager/Care Coordinator717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1851774913 WADE TAYLOR CADC-CAS
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1184179525AMERICAN HEALTH SERVICES
Organization
Exclusive Provider Organization717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1730636598 DANIEL BOLANDER
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1114096872EL DORADO COMMUNITY SERVICE CENTER
Organization
Clinic/Center (Primary Care)717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1588016489 CESIA DELACRUZ LVN
Individual
Licensed Vocational Nurse717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1093360331 SANDRA DIANE KELLAR RADT
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1194323659 ANTONIO DE JESUS SANCHEZ
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1811599624 EDWARD MICHAEL RAMIREZ JR.
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1548855166 LAKEISHA MORGAN
Individual
Licensed Vocational Nurse717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1780266320 JENNY DE LOERA
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1952865719 WANDA JEAN WILLIAMS RADT
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883
1184144826 ESTEFANIA BERNABE RADT
Individual
Counselor (Addiction (Substance Use Disorder))717 LINCOLN BLVD
VENICE, CA 90291
(310) 399-9883

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366512550, enumerated in the NPI registry as an "organization" on November 08, 2006

The provider is located at 717 Lincoln Blvd Venice, Ca 90291 and the phone number is (310) 399-9883

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm and Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure.

This NPI record was last updated on November 08, 2006. 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.