COMPASSION FOR TEEN LIFE, INC. (NPI# 1215342803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215342803 |
| Entity Type | Organization |
| Organization Name | COMPASSION FOR TEEN LIFE, INC. |
| Other Organization Name | ADVANCED FAMILY CARE HEALTH CENTER |
| Practice Address |
1201 E Florence Ave Los Angeles CA 90001-2432 |
| Practice Telephone | 3235880084 |
| Mailing Telephone | 3235880084 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | MRS. LORNA MAE JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3235880084 |
| Authorized Official Credential | MSN, NP, CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Family Care Health Center | Doing Business As Name - Organization |
| Street Address |
1201 E FLORENCE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90001-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417005695 | Lorna M Johnson | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| 1184047748 | Advanced Family Care Medical Laboratory | Clinical Medical Laboratory | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2014-01-31 |
| 1679903116 | Advanced Family Care Home Health | Home Health | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2013-11-20 |
| 1164768412 | Sonia Velasco | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2012-12-13 |
| 1356677454 | Rose Nneka Ekejiuba | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2009-10-23 |
| 1033267216 | Advanced Family Care Medical Group Inc | Clinic/Center | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722539 | Lisa Crockom | Technician | 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 | 2019-10-24 |
| 1679047229 | Rosario Montes | Behavior Technician | 6907 Hooper Ave, Los Angeles, CA 90001 | 2019-01-16 |
| 1467902031 | Fun Dental 4 Kids 2 | Dentist | 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 | 2016-10-07 |
| 1295100709 | Central City Community Health Center | Clinic/Center | 1236 E Florence Ave, Los Angeles, CA 90001 | 2015-12-09 |
| 1437596327 | Natasha Nasha Andrews | Clinic/Center | 1620 E. 83rd Street, Los Angeles, CA 90001 | 2013-05-31 |
| 1679827943 | Denise Michelle Betters | Counselor | 8019 S Compton Ave., Los Angeles, CA 90001 | 2012-11-07 |
| 1790050763 | Animo Locke Tech Charter High School | Community/Behavioral Health | 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 | 2012-03-09 |
| 1093021602 | Larthia Renard Dunham | Social Worker | 8019 S. Compton Blvd., Los Angeles, CA 90001 | 2010-08-20 |
| 1114258761 | Central City Comm Hlt Ctr Mobile Unit | General Practice | 5986 Central Avenue, Los Angeles, CA 90001 | 2010-01-21 |
| 1457688517 | Yesenia Cruz | Dental Assistant | 1119 E 64th St., Los Angeles, CA 90001 | 2009-11-11 |
| Find all providers in zip 90001 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1003367590 | Jwch Institute, Inc | Clinic/Center | 115 E. 3rd Street, Los Angeles, CA 90013-1301 | 2016-10-19 |
| 1568919108 | Jwch Institute, Inc | Clinic/Center | 3804 Broadway Pl, Los Angeles, CA 90037-1414 | 2016-09-01 |
| 1093167850 | 3c Community Clinic | Clinic/Center | 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 | 2016-07-05 |
| 1174996177 | All-inclusive Community Health Center | Clinic/Center | 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 | 2015-11-12 |
| 1861893844 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 326 West 23rd Street, Los Angeles, CA 90007 | 2014-09-10 |
| 1649680588 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 | 2014-04-30 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1487086989 | Central Neighborhood Health Foundation | Clinic/Center | 2614 S Grand Ave, Los Angeles, CA 90007-2607 | 2013-08-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90001 |
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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.