SA 4 HOME SKID ROW
NPI 1033310610
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA
About Sa 4 Home Skid Row NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SA 4 HOME SKID ROW (NPI 1033310610) is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Lisa H. Wong, Acting Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sa 4 Home Skid Row is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
529Medicare enrollment records show 529 clinicians reassign Medicare billing to Sa 4 Home Skid Row, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 172 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 529Los Angeles, CA 90013
Los Angeles, CA 90012
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2317352
Sa4 Interim Housing Outreach Program Dba Los Angeles County Department Of Mental Health · Los Angeles, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Los Angeles County Department Of Mental Health's NPI number?
The NPI number for Los Angeles County Department Of Mental Health is 1033310610. It was assigned to this organization in the NPPES registry on May 30, 2007. The provider is doing business as Sa 4 Home Skid Row.
Where is Los Angeles County Department Of Mental Health located?
Los Angeles County Department Of Mental Health is located at 224 E 6th St, Los Angeles, CA 90014. The listed phone number is (213) 680-6304.
What is Los Angeles County Department Of Mental Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Los Angeles County Department Of Mental Health enrolled in Medicare?
Yes. Los Angeles County Department Of Mental Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Los Angeles County Department Of Mental Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 529 clinicians in 5 Medicare specialties reassign their Medicare billing to Los Angeles County Department Of Mental Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (260), Psychiatry (177) and Nurse Practitioner (38). Of these, 1 practice at this address and 172 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Los Angeles County Department Of Mental Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2317352) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Los Angeles County Department Of Mental Health was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sa 4 Home Skid Row · NPI 1033310610
Mental Health (Including Community Mental Health Center) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1033310610 (Entity type: Organization)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Los Angeles County Department Of Mental Health
- **Organization subpart:** Yes (part of Los Angeles County Department Of Mental Health)
- **Authorized official:** Lisa Wong, ACTING DIRECTOR
## Practice location
- **Address:** 224 E 6TH ST, Los Angeles, CA 90014-2119
- **Phone:** (213) 680-6304
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 529 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (260), Psychiatry (177), Nurse Practitioner (38); 1 practice at this address and 172 within 10 miles; [full list](https://npiprofile.com/npi/1033310610/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2022
- **Other identifiers:** Medicaid 7701 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033310610) · Data from the CMS NPPES public registry.