CENTRAL CITY COMMUNITY HEALTH CENTER (NPI# 1295100709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295100709 |
Entity Type | Organization |
Organization Name | CENTRAL CITY COMMUNITY HEALTH CENTER |
Practice Address |
1236 E Florence Ave Los Angeles CA 90001 |
Mailing Address |
1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 |
Practice Telephone | 3237240019 |
Practice Fax Number | 3237243539 |
Mailing Fax Number | 3232487044 |
Enumeration Date | 2015-12-09 |
Last Update Date | 2018-08-10 |
Authorized Official Name | LUISA MONE (CREDENTIALING & GRIEVANCE ADMIN) |
Authorized Official Telephone | 3237240019 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922548247 | Central City Community Health Center | Clinic/Center | 928 Palos Verdes Street, Sam Pedro, CA 90731-3740 | 2017-03-06 |
1992245252 | Central City Community Health Center | Clinic/Center | 81709 Dr Carreon Blvd Ste D1, Indio, CA 92201-5578 | 2017-03-06 |
1245605765 | Central City Community Health Center | Clinic/Center | 3111 W Orange Ave, Anaheim, CA 92804-3145 | 2015-12-09 |
1750781548 | Central City Community Health Center | General Practice | 1730 W Olympic Blvd # 150, Los Angeles, CA 90015-1019 | 2014-08-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CENTRAL CITY COMMUNITY HEALTH CENTER, INC. | 1000 San Gabriel Blvd, Ste 200, Rosemead, CA 91770-4394 |
Street Address |
1236 E FLORENCE AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90001 |
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 |
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 |
1396979001 | Cecilia Echeverria | Dental Assistant | 1423 Gage Ave, Suite A West Coast Dental, La, CA 90001 | 2009-05-08 |
Find all providers in zip 90001 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
1306461074 | Jwch Institute, Inc | Clinic/Center | 855 N Vermont Ave, Los Angeles, CA 90029-3516 | 2020-06-09 |
1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
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 | 90001 |
Please comment or provide details below to improve the information on CENTRAL CITY COMMUNITY HEALTH CENTER.
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.