QUEENSCARE FAMILY CLINICS (NPI# 1043476609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043476609 |
| Entity Type | Organization |
| Organization Name | QUEENSCARE FAMILY CLINICS |
| Other Organization Name | QUEENSCARE FAMILY CLINICS - MENTAL HEALTH |
| Practice Address |
1300 N Vermont Ave Suite 809 Los Angeles CA 90027-6005 |
| Practice Telephone | 3236694355 |
| Mailing Telephone | 3236694355 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | MR. TERRY ALLEN BONECUTTER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3236694303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| QueensCare Family Clinics - Mental Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677401 | Queenscare Family Clinics | Dentist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2012-04-10 |
| 1215293733 | Queenscare Family Clinics | Dentist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2012-04-10 |
| 1043381213 | Queenscare Family Clinics | Clinic/Center | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-11-10 |
| Street Address |
1300 N VERMONT AVE SUITE 809 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498410 | Raed Bargout | Internal Medicine | 1300 N Vermont Ave, 401, Los Angeles, CA 90027-6005 | 2005-09-21 |
| 1447878095 | Michelle Valdez Labao | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-09 |
| 1265059638 | Parveen Kaur Md Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-01 |
| 1336769728 | Anna Longuryan | Registered Nurse | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-04-25 |
| 1700410438 | Nicole Hilary Jaucian Valdez | Physician Assistant | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2020-03-03 |
| 1457990087 | Ani Nairi Narinyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-12-30 |
| 1356998272 | Pacifica Health Foundation | Preventive Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-08-26 |
| 1700341427 | Andrea Vasquez | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-06 |
| 1205391356 | Antoine Vernell Taylor Sr. | Emergency Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-04 |
| 1568936268 | Marianna Muradyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633864 | Andrea Forcina | Clinic/Center | 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 | 2020-06-08 |
| 1831710706 | Beyond Cancer Family Therapy Inc | Clinic/Center | 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 | 2020-05-02 |
| 1518599851 | Vip Community Mental Health Center, Inc | Clinic/Center | 2820 E 1st St, Los Angeles, CA 90033-3636 | 2020-02-05 |
| 1699306340 | Vip Community Mental Health Center, Inc. | Clinic/Center | 2730 Ganahl St, Los Angeles, CA 90033-2019 | 2020-01-31 |
| 1629618350 | Ustawi | Clinic/Center | 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 | 2020-01-10 |
| 1073158622 | Los Angeles County Department of Mental Health | Clinic/Center | 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 | 2019-11-07 |
| 1790327179 | Otc LLC | Clinic/Center | 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 | 2019-10-17 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1427515246 | Los Angeles County Department of Mental Health | Clinic/Center | 11110 W Pico Blvd, Los Angeles, CA 90064-1709 | 2019-02-28 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on QUEENSCARE FAMILY CLINICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.