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DIDI HIRSCH MHS - VIA AVANTA
NPI 1740539980
Substance Abuse Rehabilitation Facility in Pacoima, CA

Active since September 04, 2012
11643 GLENOAKS BLVD, PACOIMA, CA 91331(818) 897-2609(818) 890-7159 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2020, Sep 21, 2020 (2 updates tracked since 2020).

About Didi Hirsch Mhs - Via Avanta NPPES

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

DIDI HIRSCH MHS - VIA AVANTA (NPI 1740539980) is a healthcare organization registered as a substance abuse rehabilitation facility in Pacoima, California and active in the NPI registry since September 2012. The organization lists Dulce M Ruiz, Contracts & Grants Manager, as its authorized official.

NPPES Registry Identity

NPI1740539980
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDIDI HIRSCH PSYCHIATRIC SERVICE
Location Address11643 GLENOAKS BLVDPacoima, CA 91331-1050
Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612
Phone(818) 897-2609
Fax(818) 890-7159
Organization SubpartNo
Authorized OfficialDulce M RuizContracts & Grants Manager · (310) 751-5442
Enumeration DateSeptember 4, 2012
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1740539980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
11643 GLENOAKS BLVD, Pacoima, CA 91331
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Other Names 1

Other NameDidi Hirsch Mhs - Via Avanta

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Didi Hirsch Mhs - Via Avanta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare enrollment records show 37 clinicians reassign Medicare billing to Didi Hirsch Mhs - Via Avanta, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker12
Marriage and Family Therapist12
Psychiatry8
Mental Health Counselor2
Nurse Practitioner2
Clinical Psychologist1

Nearest to this location (20)

See all 37
Anna West
Marriage and Family Therapist
NPI 1356691265
11643 GLENOAKS BLVD
Pacoima, CA 91331
(818) 897-2609
✔ PECOS✔ Accepts MedicareSame address
Inessa Essaian, MD
Psychiatry
NPI 1366402976
1560 E CHEVY CHASE DR STE 130
Glendale, CA 91206
(818) 240-0340
✔ PECOS✔ Accepts Medicare14 mi
Martha Basmadjian, MFT
Marriage and Family Therapist
NPI 1437285061
1540 E COLORADO ST
Glendale, CA 91205
(818) 244-7257
✔ PECOS15 mi
Richard Ciasca, M.D.
Psychiatry
NPI 1568505931
1540 E COLORADO ST
Glendale, CA 91205
(818) 244-7257
✔ PECOS✔ Accepts Medicare15 mi
Seta Haig, MS
Marriage and Family Therapist
NPI 1902934417
1540 E COLORADO ST
Glendale, CA 91205
(818) 244-7257
✔ PECOS15 mi
Peter Swanson, RN, PMHNP
Nurse Practitioner
NPI 1992839120
1540 E COLORADO ST
Glendale, CA 91205
(818) 244-7257
✔ PECOS✔ Accepts Medicare15 mi
Donald Meland, M.D.
Psychiatry
NPI 1710022611
153 S LASKY DR SUITE 8
Beverly Hills, CA 90212
(888) 692-5053
✔ PECOS15 mi
Angelica Chavez
Clinical Social Worker
NPI 1134597818
221 N ARDMORE AVE
Los Angeles, CA 90004
(213) 381-3626
✔ PECOS✔ Accepts Medicare16 mi
Razan Seikaly, MA
Marriage and Family Therapist
NPI 1528190659
1233 S LA CIENEGA BLVD
Los Angeles, CA 90035
(310) 855-0031
✔ PECOS16 mi
Emily Altman, M.D.
Psychiatry
NPI 1265566814
3200 MOTOR AVE VISTA DEL MAR
Los Angeles, CA 90034
(310) 836-1223
✔ PECOS✔ Accepts Medicare17 mi
Michael Sheley
Clinical Social Worker
NPI 1760093942
3212 NEBRASKA AVE
Santa Monica, CA 90404
(310) 744-1310
✔ PECOS✔ Accepts Medicare17 mi
Nathaniel Coffey, LCSW
Clinical Social Worker
NPI 1679247605
595 E COLORADO BLVD MEZZANINE
Pasadena, CA 91101
(626) 765-4045
✔ PECOS✔ Accepts Medicare19 mi
Megan Matamoros, LPCC
Mental Health Counselor
NPI 1356005151
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS19 mi
Graciela Piangerelli
Clinical Social Worker
NPI 1750996989
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS✔ Accepts Medicare19 mi
Andrew Dow, M.D.
Psychiatry
NPI 1477636504
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS✔ Accepts Medicare19 mi
Halley Gildersleeve, MS
Mental Health Counselor
NPI 1265102495
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS✔ Accepts Medicare19 mi
David Noble
Clinical Social Worker
NPI 1275253023
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS19 mi
Benjamin Wegner
Clinical Psychologist
NPI 1275190761
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS✔ Accepts Medicare19 mi
Shanna Whitlow
Marriage and Family Therapist
NPI 1952749996
4760 SEPULVEDA BLVD
Culver City, CA 90230
(310) 390-6612
✔ PECOS19 mi
Omar Khan, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1629308135
323 N PRAIRIE AVE
Inglewood, CA 90301
(310) 846-2100
✔ PECOS✔ Accepts Medicare22 mi
See all 37 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 Didi Hirsch Psychiatric Service's NPI number?

The NPI number for Didi Hirsch Psychiatric Service is 1740539980. It was assigned to this organization in the NPPES registry on September 4, 2012. The provider is also known as Didi Hirsch Mhs - Via Avanta.

Where is Didi Hirsch Psychiatric Service located?

Didi Hirsch Psychiatric Service is located at 11643 Glenoaks Blvd, Pacoima, CA 91331. The listed phone number is (818) 897-2609.

What is Didi Hirsch Psychiatric Service's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Didi Hirsch Psychiatric Service enrolled in Medicare?

Yes. Didi Hirsch Psychiatric Service is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Didi Hirsch Psychiatric Service?

According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 6 Medicare specialties reassign their Medicare billing to Didi Hirsch Psychiatric Service. 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 (12), Marriage and Family Therapist (12) and Psychiatry (8). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Didi Hirsch Psychiatric Service was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.