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SHATTO STREET
NPI 1053687160
Community/Behavioral Health in Los Angeles, CA

Active since March 23, 2012
1543 SHATTO ST, LOS ANGELES, CA 90017(213) 353-4407 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shatto Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHATTO STREET (NPI 1053687160) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since March 2012. The organization lists Ronda Renee Dixon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053687160
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHATTO STREET
Location Address1543 SHATTO STLos Angeles, CA 90017-1718
Mailing Address4715 Crenshaw BlvdLos Angeles, CA 90043-1233 · (323) 988-3744
Phone(213) 353-4407
Organization SubpartYesParent: Dixon Recovery Institute, Inc.
Authorized OfficialRonda Renee DixonExecutive Director · (323) 988-3744
Enumeration DateMarch 23, 2012
✔ NPI 1053687160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 190622AN
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1543 SHATTO ST, Los Angeles, CA 90017
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Other Identifiers 1

Medicaid197336CA

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 Shatto Street's NPI number?

The NPI number for Shatto Street is 1053687160. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Shatto Street located?

Shatto Street is located at 1543 Shatto St, Los Angeles, CA 90017. The listed phone number is (213) 353-4407.

What is Shatto Street's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shatto Street was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.