SOUTH BAY MHS -- FSP PROGRAM
NPI 1760698112
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gardena, CA

Active since May 15, 2007
1045 W REDONDO BEACH BLVD FL 3, GARDENA, CA 90247(310) 970-5000(323) 756-1163 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2022, Aug 17, 2022, Aug 8, 2022 and 5 more (8 updates tracked since 2016).

About South Bay Mhs -- Fsp Program NPPES

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

SOUTH BAY MHS -- FSP PROGRAM (NPI 1760698112) is a healthcare organization registered as a mental health (including community mental health center) in Gardena, California and active in the NPI registry since May 2007. The organization lists Lisa H. Wong, Acting Director, as its authorized official.

NPPES Registry Identity

NPI1760698112
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Location Address1045 W REDONDO BEACH BLVD FL 3Gardena, CA 90247-4128
Mailing Address510 S Vermont AveLos Angeles, CA 90020-1992 · (213) 738-4601
Fax(323) 756-1163
Organization SubpartYes
Authorized OfficialLisa H. WongActing Director · (213) 738-4601
Enumeration DateMay 15, 2007
Last NPPES UpdateNovember 28, 20228 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1760698112 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
1045 W REDONDO BEACH BLVD FL 3, Gardena, CA 90247

Other Names 1

Doing Business AsSouth Bay Mhs -- Fsp Program

Other Identifiers 1

Medicaid7672CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bay Mhs -- 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 South Bay Mhs -- Fsp Program, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 133 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 Psychologist
NPI 1376417428
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOSSame address
Nurse Practitioner
NPI 1003444597
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1538883368
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1801205349
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOSSame address
Clinical Social Worker
NPI 1083962096
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1528348372
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1669865424
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1225769854
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1962695627
1045 W REDONDO BEACH BLVD FL 3
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1851798029
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1841335890
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOSSame address
Clinical Social Worker
NPI 1790165322
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1891862827
1045 W REDONDO BEACH BLVD STE 300
Gardena, CA 90247
(323) 241-6730
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1174779425
1045 W REDONDO BEACH BLVD
Gardena, CA 90247
(233) 241-6730
✔ PECOSSame address
Psychiatry
NPI 1346803046
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1437535457
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1285820522
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1578019980
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1619451333
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS0.9 mi
Marriage and Family Therapist
NPI 1730628363
14112 S KINGSLEY DR
Gardena, CA 90249
(310) 217-7312
✔ PECOS✔ Accepts Medicare0.9 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 1760698112. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as South Bay Mhs -- Fsp Program.

Where is Los Angeles County Department Of Mental Health located?

Los Angeles County Department Of Mental Health is located at 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247. The listed phone number is (310) 970-5000.

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, 14 practice at this address and 133 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 November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.