WATTS HEALTHCARE CORPORATION (NPI# 1225177751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225177751 |
| Entity Type | Organization |
| Organization Name | WATTS HEALTHCARE CORPORATION |
| Other Organization Name | CRENSHAW COMMUNITY HEALTH CENTER |
| Practice Address |
3756 Santa Rosalia Dr Suite 400 Los Angeles CA 90008-3606 |
| Mailing Address |
10300 Compton Ave Los Angeles CA 90002-3628 |
| Practice Telephone | 3233576684 |
| Mailing Telephone | 3235684417 |
| Mailing Fax Number | 3235636378 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | MR. WILLIAM HOBSON JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3235684417 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATTS HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
9600013 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70874G | 05 |
| Other Name | Type Code |
|---|---|
| CRENSHAW COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962733022 | Watts Healthcare Corporation | Substance Abuse Rehabilitation Facility | 8005 S Figueroa St, Los Angeles, CA 90003-2720 | 2010-01-28 |
| 1376681486 | Watts Healthcare Corporation | Clinic/Center | 10300 Compton Ave, Los Angeles, CA 90002-3628 | 2007-02-01 |
| 1477649119 | Watts Healthcare Corporation | Clinic/Center | 10300 Compton Avenue, Los Angeles, CA 90002 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WATTS HEALTHCARE CORPORATION | 10300 Compton Ave, Los Angeles, CA 90002-3628 |
| Street Address |
3756 SANTA ROSALIA DR SUITE 400 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780649442 | Jimmy C. Huang | Family Medicine | 3756 Santa Rosalia Dr, Suite 422, Los Angeles, CA 90008-3606 | 2006-04-18 |
| 1912564733 | Kyva L Bryant | Student in an Organized Health Care Education/Training Program | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2019-05-28 |
| 1851956825 | Im'unique Grant | Case Manager/Care Coordinator | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2019-05-06 |
| 1538651765 | Marrah Elorza | Student in an Organized Health Care Education/Training Program | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2018-06-04 |
| 1508363417 | Yolanda Turner | Student in an Organized Health Care Education/Training Program | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2018-04-07 |
| 1679019202 | Baldwin Hills Pediatrics Inc | Clinic/Center | 3756 Santa Rosalia Dr, Suite#320, Los Angeles, CA 90008-3606 | 2017-01-06 |
| 1740637024 | Kimberly Major | Case Manager/Care Coordinator | 3756 Santa Rosalia Dr, 424, Los Angeles, CA 90008-3606 | 2016-05-17 |
| 1215391511 | Christofer Aaron Lopez Reyes | Case Manager/Care Coordinator | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2016-04-12 |
| 1598125742 | Angela Avelina Veles Gonzalez | Case Manager/Care Coordinator | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2016-03-01 |
| 1962867622 | Sparkle Garlington | Counselor | 3756 Santa Rosalia Dr, Los Angeles, CA 90008-3606 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1811548712 | Jwch Institute, Inc | Clinic/Center | 1670 E 120 Street, West Support Bldg #14 Fl 2, Los Angeles, CA 90059-3026 | 2019-09-23 |
| 1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1083132849 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 220, Los Angeles, CA 90057-1993 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on WATTS HEALTHCARE CORPORATION.
| 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.