NORTHEAST COMMUNITY CLINIC (NPI# 1164606414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164606414 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY CLINIC |
| Practice Address |
5420 N Figueroa St Los Angeles CA 90042 |
| Mailing Address |
2550 W Main St Suite 301 Alhambra CA 91801-1694 |
| Practice Telephone | 3232563884 |
| Practice Fax Number | 3232586307 |
| Mailing Telephone | 6264576900 |
| Mailing Fax Number | 6264571233 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | DR. CHRISTOPHER LAU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6264576900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST COMMUNITY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | HAP11584G | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | HAP11584G | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | HAP11584G | CA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | HAP11584G | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | HAP11584G | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | HAP11584G | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP11584G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1972786051 | Northeast Community Clinic | Family Medicine | 5428 N Figueroa St, Los Angeles, CA 90042-4118 | 2007-12-11 |
| 1851942288 | Northeast Community Clinic | Pediatrics | 1414 S Grand Ave Ste 200, Los Angeles, CA 90015-3072 | 2019-09-26 |
| 1801447958 | Northeast Community Clinic | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2019-09-20 |
| 1962050120 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 | 2019-08-30 |
| 1366957508 | Northeast Community Clinic | Internal Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2017-12-11 |
| 1275048415 | Northeast Community Clinic | Obstetrics & Gynecology | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2017-12-11 |
| 1063927564 | Northeast Community Clinic | Internal Medicine | 1414 S Grand Ave Ste 456, Los Angeles, CA 90015-3071 | 2017-12-06 |
| 1043725583 | Northeast Community Clinic | Pediatrics | 1403 Lomita Blvd Ste 103, Harbor City, CA 90710-2084 | 2017-12-06 |
| Street Address |
5420 N FIGUEROA ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548365968 | Christopher Tak Lau | Family Medicine | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2006-09-13 |
| 1801447958 | Northeast Community Clinic | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2019-09-20 |
| 1932761350 | Lisa Chauv | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2019-07-05 |
| 1518409440 | Meeri Lee | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2016-11-09 |
| 1659829380 | Jonathan Kang | Family Medicine | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2016-09-11 |
| 1568844215 | Xochitl Isabel Cubero Renteln | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2015-06-18 |
| 1902240229 | Freddy Lim | Internal Medicine | 5420 N Figueroa St, Los Angeles, CA 90042 | 2013-04-18 |
| 1760766505 | Jose Alberto Teposte | Marriage & Family Therapist | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2011-09-28 |
| 1760780142 | Michelle Rangel | Marriage & Family Therapist | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2011-03-08 |
| 1548591738 | Rafael Antonio Chavez-reyes | Social Worker | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| 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 | 90042 |
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| 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.