NORTHEAST COMMUNITY CLINIC (NPI# 1366957508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366957508 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY CLINIC |
| Practice Address |
4129 Gage Ave Bell CA 90201-1128 |
| Mailing Address |
2550 W Main St Ste 301 Alhambra CA 91801-7003 |
| Practice Telephone | 3237718400 |
| Practice Fax Number | 3237718750 |
| Mailing Telephone | 6264576900 |
| Mailing Fax Number | 6264575022 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | CHRISTOPHER TAK LAU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6264576900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST COMMUNITY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1972786051 | Northeast Community Clinic | Family Medicine | 5428 N Figueroa St, Los Angeles, CA 90042-4118 | 2007-12-11 |
| 1851942288 | Northeast Community Clinic | Pediatrics | 1414 S Grand Ave Ste 200, Los Angeles, CA 90015-3072 | 2019-09-26 |
| 1801447958 | Northeast Community Clinic | Physician Assistant | 5420 N Figueroa St, Los Angeles, CA 90042-4118 | 2019-09-20 |
| 1962050120 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 | 2019-08-30 |
| 1275048415 | Northeast Community Clinic | Obstetrics & Gynecology | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2017-12-11 |
| 1063927564 | Northeast Community Clinic | Internal Medicine | 1414 S Grand Ave Ste 456, Los Angeles, CA 90015-3071 | 2017-12-06 |
| 1043725583 | Northeast Community Clinic | Pediatrics | 1403 Lomita Blvd Ste 103, Harbor City, CA 90710-2084 | 2017-12-06 |
| 1891200325 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 380, Los Angeles, CA 90015-3072 | 2017-12-06 |
| Street Address |
4129 GAGE AVE |
| City | BELL |
| State | CA |
| Zip Code | 90201-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801967393 | Alberto Aguilar | Nurse Practitioner | 4129 Gage Ave, Bell, CA 90201-1128 | 2006-11-13 |
| 1982265476 | Vicky Ramirez | Health Educator | 4129 Gage Ave, Bell, CA 90201-1128 | 2019-06-25 |
| 1609357342 | Carolina Lopez | Physician Assistant | 4129 Gage Ave, Bell, CA 90201-1128 | 2018-08-21 |
| 1619464161 | Daniel Celeo Solis | Internal Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2018-04-20 |
| 1528570009 | Danilo Barrientos | Nurse Practitioner | 4129 Gage Ave, Bell, CA 90201 | 2017-10-24 |
| 1932527892 | Andrea L Buenrostro | Pediatrics | 4129 Gage Ave, Bell, CA 90201 | 2014-03-28 |
| 1265771356 | Ruben Alejandro Munoz | Family Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2013-02-08 |
| 1689885428 | Northeast Community Clinic | Internal Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2007-05-24 |
| 1497827604 | Thucdoan Thi Nguyen | Physician Assistant | 4129 Gage Ave, Bell, CA 90201-1128 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558613059 | St. Luke Medical Center Inc. | Family Medicine | 3705 Gage Ave Ste A, Bell, CA 90201-1024 | 2012-10-08 |
| 1174638373 | Eric Batres | Family Medicine | 5101 Florence Ave Ste 4, Bell, CA 90201-3801 | 2006-08-20 |
| 1336173863 | Bruce Thomas | Family Medicine | 1830 N Main St, Bell, FL 32619-4713 | 2006-07-10 |
| 1043246317 | Man Vuong-dac,md Inc. | Family Medicine | 3649 Florence Ave, Bell, CA 90201-3352 | 2006-06-25 |
| 1972973840 | Torres & Uyuni, A Professional Medical Corporation | Family Medicine | 4566 Florence Ave, Suite 1, Bell, CA 90201-4345 | 2015-10-04 |
| 1265771356 | Ruben Alejandro Munoz | Family Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2013-02-08 |
| 1780850172 | Manoochehr Zarrabi | Family Medicine | 4827 Gage Ave, Bell, CA 90201-1424 | 2008-05-06 |
| 1396929147 | Man Vuong-dac | Family Medicine | 3649 Florence Ave, Bell, CA 90201-3352 | 2007-12-27 |
| 1003009853 | Grace Dunn | Family Medicine | 1830 N Main St, Bell, FL 32619-4713 | 2007-08-24 |
| 1083735203 | Eric Roberto Batres Medical Corporation | Family Medicine | 5101 Florence Ave, Suite #4, Bell, CA 90201-3801 | 2007-04-03 |
| Find all providers in BELL | ||||
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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.