NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC. (NPI# 1063781565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063781565 |
| Entity Type | Organization |
| Organization Name | NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC. |
| Practice Address |
1704 W Manchester Ave Suite 109 Los Angeles CA 90047-3063 |
| Practice Telephone | 3237788485 |
| Practice Fax Number | 3237784452 |
| Mailing Telephone | 3237788485 |
| Mailing Fax Number | 3237784452 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | AMANI A ELDESSOUKY (PRESIDENT) |
| Authorized Official Telephone | 3237788485 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A106748 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | A106748 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236017 | Nueva Esperanza Healthcare Medical Clinic Inc. | Family Medicine | 1704 W Manchester Ave, Suite 109, Los Angeles, CA 90047-3063 | 2011-12-29 |
| 1083767875 | Nueva Esperanza Healthcare Medical Clinic Inc. | Family Medicine | 1704 W Manchester Ave, Suite 109, Los Angeles, CA 90047-3034 | 2007-01-18 |
| Street Address |
1704 W MANCHESTER AVE SUITE 109 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083643837 | Morningside Primary Care Medical Ctr, Inc | General Practice | 1704 W Manchester Ave, Suite 101, Los Angeles, CA 90047-3034 | 2006-07-02 |
| 1225662331 | Erika Hall | Case Manager/Care Coordinator | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2020-02-27 |
| 1083177372 | Jessica Bessette | Nurse Practitioner | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2019-04-12 |
| 1053707182 | Pacific Coast Medical Supply | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave, Suite 105, Los Angeles, CA 90047-3063 | 2015-04-15 |
| 1245637362 | God's Property Sober Living Foundation | Substance Abuse Rehabilitation Facility | 1704 W Manchester Ave, Suite 210, Los Angeles, CA 90047-3063 | 2014-12-04 |
| 1851702286 | Morningside Specialty Hospital Inc. | Special Hospital | 1704 W Manchester Ave, Suite 206k, Los Angeles, CA 90047-3063 | 2014-05-20 |
| 1053722256 | Loving Touch Hospice Care, Inc. | Hospice Care, Community Based | 1704 W Manchester Ave, Suite 101-d, Los Angeles, CA 90047-3063 | 2014-05-11 |
| 1982023628 | Jahreese Barber | Counselor | 1704 W Manchester Ave, Suite 203, Los Angeles, CA 90047-3063 | 2014-04-09 |
| 1245655745 | Brighter Beginnings Drug and Alcohol Rehabilitation Facility | Community/Behavioral Health | 1704 W Manchester Ave, Los Angeles, CA 90047-3063 | 2014-02-20 |
| 1518236017 | Nueva Esperanza Healthcare Medical Clinic Inc. | Family Medicine | 1704 W Manchester Ave, Suite 109, Los Angeles, CA 90047-3063 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
Please comment or provide details below to improve the information on NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC..
| 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.