EAST SAN GABRIEL VALLEY MHC
NPI 1093921439
Clinic/Center - Mental Health (Including Community Mental Health Center) in Covina, CA
About East San Gabriel Valley Mhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST SAN GABRIEL VALLEY MHC (NPI 1093921439) is a healthcare organization registered as a mental health (including community mental health center) in Covina, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 22, 2026 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)
East San Gabriel Valley Mhc 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 East San Gabriel Valley Mhc, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 32 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 529Source: 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 05D2201808
East San Gabriel Valley Mental Health Center · Covina, 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 1093921439. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as East San Gabriel Valley Mhc.
Where is Los Angeles County Department Of Mental Health located?
Los Angeles County Department Of Mental Health is located at 1359 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 430-2800.
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, 12 practice at this address and 32 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 05D2201808) is associated with this NPI, valid through November 22, 2026. 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 4, 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.
# East San Gabriel Valley Mhc · NPI 1093921439
Mental Health (Including Community Mental Health Center) organization in Covina, California. Organization record, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1093921439 (Entity type: Organization)
- **Enumerated:** May 15, 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:** 1359 N GRAND AVE, Covina, CA 91724-1016
- **Phone:** (626) 430-2800
## 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); 12 practice at this address and 32 within 10 miles; [full list](https://npiprofile.com/npi/1093921439/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2022
- **Other identifiers:** Medicaid 7777 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093921439) · Data from the CMS NPPES public registry.