SA3-FSP PROGRAM
NPI 1649490475
Clinic/Center - Mental Health (Including Community Mental Health Center) in Covina, CA

Active since April 26, 2007
1359 N GRAND AVE, COVINA, CA 91724(626) 430-2800 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2022, Jan 13, 2022, Oct 9, 2020 and 3 more (6 updates tracked since 2016).

About Sa3-fsp Program NPPES

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

SA3-FSP PROGRAM (NPI 1649490475) is a healthcare organization registered as a mental health (including community mental health center) in Covina, California and active in the NPI registry since April 2007. The organization lists Lisa H. Wong, Acting Director, as its authorized official.

NPPES Registry Identity

NPI1649490475
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Location Address1359 N GRAND AVECovina, CA 91724-1016
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1992 · (213) 738-4601
Organization SubpartYes
Authorized OfficialLisa H. WongActing Director · (213) 738-4601
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 4, 20226 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1649490475 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
1359 N GRAND AVE, Covina, CA 91724

Other Names 1

Doing Business AsSa3-fsp Program

Other Identifiers 1

Medicaid7705CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sa3-fsp Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

529

Medicare enrollment records show 529 clinicians reassign Medicare billing to Sa3-Fsp Program, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker260
Psychiatry177
Nurse Practitioner38
Clinical Psychologist30
Marriage and Family Therapist24

Nearest to this location (20)

See all 529
Clinical Social Worker
NPI 1881977544
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1720248727
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1659740520
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1972824019
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Psychiatry
NPI 1235393448
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1568915395
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1497172241
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1851765192
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1457729980
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1659757805
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2853
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1093898694
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2875
✔ PECOSSame address
Clinical Social Worker
NPI 1205917580
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154191740
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1689920001
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2870
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1174194971
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1699313296
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1316147754
1359 N GRAND AVE
Covina, CA 91724
(310) 534-1083
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1225386220
1359 N GRAND AVE
Covina, CA 91724
(626) 430-2900
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1063585198
2620 S CALIFORNIA AVE
Monrovia, CA 91016
(626) 471-6418
✔ PECOS✔ Accepts Medicare7.2 mi
Psychiatry
NPI 1457434300
330 E LIVE OAK AVE
Arcadia, CA 91006
(626) 821-5858
✔ PECOS8.5 mi
See all 529 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1649490475. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Sa3-Fsp Program.

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 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.