THE LOS ANGELES FREE CLINIC (NPI# 1336281179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336281179 |
| Entity Type | Organization |
| Organization Name | THE LOS ANGELES FREE CLINIC |
| Other Organization Name | SABAN COMMUNITY CLINIC |
| Practice Address |
5205 Melrose Ave Los Angeles CA 90038-3144 |
| Practice Telephone | 3236538622 |
| Mailing Telephone | 3236538622 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MR. JEFFREY BUJER (CO-CEO) |
| Authorized Official Telephone | 3236538622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960001353 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BCP70701F | 05 | |
| CA | EAP00005F | 05 | |
| CA | FHC70654F | 05 | |
| CA | FHC70701F | 05 | |
| CA | HAP70654F | 05 | |
| CA | BCP70654F | 05 | |
| CA | HAP70701F | 05 | |
| CA | CMM70945F | 05 |
| Other Name | Type Code |
|---|---|
| Saban Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619471802 | The Los Angeles Free Clinic | Clinic/Center | 137 N Virgil Ave, Los Angeles, CA 90004-4811 | 2018-03-21 |
| 1669998845 | The Los Angeles Free Clinic | Pharmacy | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2017-08-18 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| 1578822771 | The Los Angeles Free Clinic | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3476 | 2012-05-08 |
| 1922367127 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2012-05-08 |
| 1740549948 | The Los Angeles Free Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2012-05-08 |
| 1619233996 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2012-04-11 |
| 1235271065 | The Los Angeles Free Clinic | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2007-02-12 |
| 1194893248 | The Los Angeles Free Clinic | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2006-11-30 |
| Street Address |
5205 MELROSE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811921323 | David Luna | Family Medicine | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2006-07-10 |
| 1225664089 | Pediatric and Family Medical Center | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2020-03-12 |
| 1063980928 | Manisha Ati | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2018-11-08 |
| 1275016156 | Angelica Galvan Jimenez | Registered Nurse | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2018-09-07 |
| 1609395649 | Jennifer Mai-uyen Nguyen | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2017-09-11 |
| 1801313515 | Jennifer Mary Matthes | Social Worker | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2017-08-23 |
| 1528515301 | Belinda Yoo | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2016-09-08 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| 1720490790 | Hei-wah Wong | Family Medicine | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2014-05-27 |
| 1184047300 | Saban Community Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| 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 | 90038 |
Please comment or provide details below to improve the information on THE LOS ANGELES FREE CLINIC.
| 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.