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VENICE MEDICAL & MENTAL HEALTH SERVICES
NPI 1114096872
Clinic/Center - Primary Care in Venice, CA

Active since November 07, 2006
717 LINCOLN BLVD, VENICE, CA 90291(310) 399-9883(310) 399-9678 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Venice Medical & Mental Health Services NPPES

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

VENICE MEDICAL & MENTAL HEALTH SERVICES (NPI 1114096872) is a healthcare organization registered as a primary care in Venice, California and active in the NPI registry since November 2006. The organization lists Seanjay Ramanand Sharma, Director, as its authorized official.

NPPES Registry Identity

NPI1114096872
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEL DORADO COMMUNITY SERVICE CENTER
Location Address717 LINCOLN BLVDVenice, CA 90291-2845
Mailing AddressPo Box 801809Valencia, CA 91380-1809 · (661) 254-6630
Phone(310) 399-9883
Fax(310) 399-9678
Organization SubpartNo
Authorized OfficialSeanjay Ramanand SharmaDirector · (661) 254-6630
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1114096872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 960001025
717 LINCOLN BLVD, Venice, CA 90291
Open in Google Maps ↗

Other Names 1

Doing Business AsVenice Medical & Mental Health Services

Other Identifiers 2

MedicaidCMM70719FCA
Medicare PINW7305D

Other Providers at the Same Location NPPES 20

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

ALEXIS LEDESMA I
Licensed Vocational Nurse
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
SANDRA DIANE KELLAR RADT
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
TY'SHUNNA JACKSON
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ESTEFANIA BERNABE RADT
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Methadone)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
ANTONIO DE JESUS SANCHEZ
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
AMERICAN HEALTH SERVICES LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883
GERTRUDE BRIGGS
Counselor (Addiction (Substance Use Disorder))
717 LINCOLN BLVD
VENICE, CA 90291
Los Angeles County (310) 399-9883

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 El Dorado Community Service Center's NPI number?

The NPI number for El Dorado Community Service Center is 1114096872. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Venice Medical & Mental Health Services.

Where is El Dorado Community Service Center located?

El Dorado Community Service Center is located at 717 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 399-9883.

What is El Dorado Community Service Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for El Dorado Community Service Center was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.