SOUTH BAY MHS -- FSP PROGRAM
NPI 1760698112
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gardena, CA
NPI Status: Active since May 15, 2007
Contact Information
1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA
ZIP 90247
Phone: (310) 970-5000
Fax: (323) 756-1163
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About SOUTH BAY MHS -- FSP PROGRAM
This page provides the complete NPI Profile along with additional information for South Bay Mhs -- Fsp Program, a provider established in Gardena, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1760698112 assigned on May 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as South Bay Mhs -- Fsp Program. The authorized official of this NPI record is Lisa H. Wong Psy.d. (Acting Director)
- NPI
- 1760698112
- Provider Legal Name
- LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
- Other Organization Name
- SOUTH BAY MHS -- FSP PROGRAM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247
- Location Phone
- (310) 970-5000
- Location Fax
- (323) 756-1163
- Mailing Address
- 510 S VERMONT AVE LOS ANGELES, CA 90020
- Mailing Phone
- (213) 738-4601
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-15-2007
- Last Update Date
- 11-28-2022
- Code Navigator
Location Map
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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.
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 |
|---|---|---|---|
| 7672 | MEDICAID (05) | CA |
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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. | |||||||||
| 1 | 7 | 6 | 0 | 6 | 9 | 8 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 12 | 9 | 16 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 2 + 9 + 1 + 6 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1760698112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285827642 | DR. BRIAN M DOW PH.D. Individual | Psychologist (Clinical) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1528348372 | MELISSA PATTI Individual | Social Worker (Clinical) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1629302948 | MRS. ETNA L PRESTON R.N. Individual | Registered Nurse (Psychiatric/Mental Health) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1669865424 | DR. ROBERT PETERSON D.O. Individual | Psychiatry & Neurology (Psychiatry) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1962695627 | MARVIN SANDERSON LMFT 99394 Individual | Marriage & Family Therapist | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1861425282 | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1144645649 | JESSIE TIVAO Individual | Counselor (Mental Health) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (310) 970-5000 |
| 1023392693 | RAYME MICHAEL BROCK R.N. Individual | Registered Nurse (Psychiatric/Mental Health) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1437580925 | KARLA ZACARIAS Individual | Community Health Worker | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1912457615 | ROSALIE WHITE Individual | Community Health Worker | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1942886221 | SHERETTA GARLINGTON Individual | Community Health Worker | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1538883368 | IVAN BEAS Individual | Social Worker (Clinical) | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1386417269 | ADRIAN DIXON Individual | Case Manager/Care Coordinator | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1972349983 | SAMANTHA PAIGE ACRICHE Individual | Student in an Organized Health Care Education/Training Program | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (323) 241-6730 |
| 1972323368 | JAILAH T WASHINGTON-PARROTTE Individual | Community Health Worker | 1045 W REDONDO BEACH BLVD FL 3 GARDENA, CA 90247 (310) 970-5000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760698112, enumerated in the NPI registry as an "organization" on May 15, 2007
The provider is located at 1045 W Redondo Beach Blvd Fl 3 Gardena, Ca 90247 and the phone number is (310) 970-5000
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
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.
This NPI record was last updated on May 15, 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].
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