ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. (NPI# 1285874826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285874826 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. |
| Practice Address |
808 W 58th St Los Angeles CA 90037-3632 |
| Practice Telephone | 3235411400 |
| Practice Fax Number | 3235411401 |
| Mailing Telephone | 3235411400 |
| Mailing Fax Number | 3235411401 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | JAMES J MANGIA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3235411600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
550001120 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1285874826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 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 |
| 1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
| 1629491089 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1555 West 110th St, Los Angeles, CA 90047-1220 | 2014-01-21 |
| 1871823534 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 12338 S Mona Blvd, Compton, CA 90222-1320 | 2009-12-31 |
| 1396981700 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 4085 South Vermont Ave, Los Angeles, CA 90037-4045 | 2009-01-07 |
| 1932249505 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 2512 Alta St, Los Angeles, CA 90031-2457 | 2007-02-06 |
| 1821565771 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1111 E Artesia Blvd, Compton, CA 90221-5314 | 2018-10-30 |
| Street Address |
808 W 58TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356457550 | Adrienne L Hurley | Physician Assistant | 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 | 2006-08-21 |
| 1942808654 | Kaitlynn Menjo | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-10-14 |
| 1508471723 | Elizabeth Reyes | Social Worker | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-09-14 |
| 1639788185 | Gina Hyung-jin Kim | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-07-29 |
| 1578189262 | Laorence Wassom | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-06-18 |
| 1780210807 | Jesica Viviana Cardiel | Counselor | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1184250144 | Vernica Neche Foots | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1528694957 | Audra Wong | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-17 |
| 1558996579 | Natalie Drorbaugh | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-10 |
| 1083248942 | Carly Rose Devirian | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| 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 | 90037 |
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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.