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SA 4 HOME SKID ROW
NPI 1033310610
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Active since May 30, 2007CLIA 05D2317352 · Waiver
224 E 6TH ST, LOS ANGELES, CA 90014(213) 680-6304 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Dec 13, 2021, Aug 4, 2020 and 3 more (6 updates tracked since 2016).

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

NPI1033310610
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Location Address224 E 6TH STLos Angeles, CA 90014-2119
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1992 · (213) 738-4601
Phone(213) 680-6304
Organization SubpartYes
Authorized OfficialLisa H. WongActing Director · (213) 738-4601
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 8, 20226 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1033310610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
224 E 6TH ST, Los Angeles, CA 90014
Open in Google Maps ↗

Other Names 1

Doing Business AsSa 4 Home Skid Row

Other Identifiers 1

Medicaid7701CA

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, CA
Active · expires Jan 21, 2027
CLIA Number05D2317352
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorChancelor B. Cruz
Laboratory Phone(213) 738-4725
Laboratory LocationSa4 Interim Housing Outreach Program Dba Los Angeles County Department Of Mental Health637A Maple Ave, Los Angeles, CA 90014
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID GUDINO LCSW 80521
Social Worker (Clinical)
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 650-6300
ROCIO GALLEGOS
Rehabilitation Practitioner
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 435-5172
GLADYS ALONZO
Community Health Worker
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 680-6304
MS. CHANTAL PEETE LMFT
Marriage & Family Therapist
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (132) 518-0142
ALEJANDRO PRADO
Rehabilitation Practitioner
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (747) 265-7307
MR. STEVEN IVAN COSPEWICZ LCSW
Social Worker (Clinical)
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (213) 680-6300
CHRISTOPHER SANDERS
Community Health Worker
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (000) 000-0000
KEIANNA TURNER
Rehabilitation Practitioner
224 E 6TH ST
LOS ANGELES, CA 90014
Los Angeles County (909) 419-0737

Frequently 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.

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.