PHOENIX HOUSES OF LOS ANGELES, INC.
NPI 1497809735
Substance Abuse Rehabilitation Facility in Venice, CA

NPI Status: Active since January 23, 2007

Contact Information

503 OCEAN FRONT WALK
VENICE, CA
ZIP 90291
Phone: (310) 392-3070
Fax: (310) 392-9068

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  • Organization
  • Substance Abuse Rehabilitation Facility

About PHOENIX HOUSES OF LOS ANGELES, INC.

This page provides the complete NPI Profile along with additional information for Phoenix Houses Of Los Angeles, Inc., a provider established in Venice, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1497809735 assigned on January 2007. The practitioner's primary taxonomy code is 324500000X with license number 190115AN (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Pouria Abbassi P.e. (Sr. Vice President, Regional Direct)

NPI
1497809735
Provider Name
PHOENIX HOUSES OF LOS ANGELES, INC.
Entity Type
Organization
Location Address
503 OCEAN FRONT WALK VENICE, CA 90291
Location Phone
(310) 392-3070
Location Fax
(310) 392-9068
Mailing Address
503 OCEAN FRONT WALK VENICE, CA 90291
Mailing Phone
(310) 392-3070
Mailing Fax
(310) 392-9068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2007
Last Update Date
11-26-2013
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
190115AN
License State
CA
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MR. POURIA ABBASSI P.E.

Authorized Official Title
SR. VICE PRESIDENT, REGIONAL DIRECT
Authorized Official Phone
(818) 686-3000

Reviews for PHOENIX HOUSES OF LOS ANGELES, INC.

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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.
1497809735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871601876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 8 + 7 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1497809735 is valid because the calculated check digit 5 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
1083034599MRS. KRISTEN BRANCH WINSLOW LMFT, MBA
Individual
Marriage & Family Therapist503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1912422031 RONALD LEO WEEKLEY SR.
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 864-8883
1326540964 STEPHANIE SEPLAVY
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1245896547 KRISTAL DIANE BENT N/A
Individual
Technician503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1508423971 PAUL JONES
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1457901589 DANIEL JOHN BOUCHARD RADT
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-4925
1881239739 BARRON LESEAN CARTER
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1750926408 MICHEL FERGUSON
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(626) 465-5667
1982225512 CHERONNA SHAUNTE' MORON
Individual
Licensed Vocational Nurse503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1699397125MR. GERARDO ROJAS RADT
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-4925
1164045886 VINCENT GIOVANNI CRUZ
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1295323939 JUAN M MACIAS JR.
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1841888161 ANGELINA HERNANDEZ LVN
Individual
Licensed Vocational Nurse503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1487242574MR. EDDIE JAMES BERNAL JR.
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(866) 671-9392
1932791902 LAURA ELENA BENJAMIN
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1780277244MISS STEFFANY ROGEL SR.
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1578234431 ROBIN MORRIS MEDICAL ASSISTANT
Individual
Substance Abuse Rehabilitation Facility503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1053066514 JESUS BARAJAS
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1588334627 NOUSHIN PARHAM J.D.
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070
1265199764MR. ROGER BECKETT RADT
Individual
Counselor (Addiction (Substance Use Disorder))503 OCEAN FRONT WALK
VENICE, CA 90291
(310) 392-3070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497809735, enumerated in the NPI registry as an "organization" on January 23, 2007

The provider is located at 503 Ocean Front Walk Venice, Ca 90291 and the phone number is (310) 392-3070

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on January 23, 2007. 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.