PEDIATRIC AND FAMILY MEDICAL CENTER (NPI# 1386934875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386934875 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND FAMILY MEDICAL CENTER |
| Other Organization Name | EISNER PEDIATRIC AND FAMILY MEDICAL CENTER |
| Practice Address |
1400 S Grand Ave Los Angeles CA 90015-3048 |
| Mailing Address |
1530 S Olive St Los Angeles CA 90015-3023 |
| Practice Telephone | 2137461037 |
| Mailing Telephone | 2137461037 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | CHONA DE LEON (INTERIM PRESIDENT & CEO, SR. VP&COO) |
| Authorized Official Telephone | 2137461037 |
| 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 |
| Other Name | Type Code |
|---|---|
| EISNER PEDIATRIC AND FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586367 | Pediatric and Family Medical Center | Clinic/Center | 5400 Balboa Blvd Ste 131, Encino, CA 91316-5204 | 2019-09-10 |
| 1235641887 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd Unit Lower, Sherman Oaks, CA 91403-3006 | 2017-11-03 |
| 1750917514 | Pediatric and Family Medical Center | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2020-03-12 |
| 1225664089 | Pediatric and Family Medical Center | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2020-03-12 |
| 1760018527 | Pediatric and Family Medical Center | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-03-12 |
| 1477103299 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd Ste 100, Sherman Oaks, CA 91403-3046 | 2019-09-13 |
| 1225687197 | Pediatric and Family Medical Center | Clinic/Center | 1921 Maple Ave, Los Angeles, CA 90011-1036 | 2019-09-04 |
| 1730547019 | Pediatric and Family Medical Center | Clinic/Center | 15251 Roscoe Blvd, Panorama City, CA 91402-4401 | 2016-02-02 |
| 1982075107 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd, Suite 300, Sherman Oaks, CA 91403-3006 | 2015-10-14 |
| 1982075115 | Pediatric and Family Medical Center | Clinic/Center | 6618 Van Nuys Blvd, Van Nuys, CA 91405-4617 | 2015-10-14 |
| Street Address |
1400 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678013 | Alice M Stek | Obstetrics & Gynecology | 1400 S Grand Ave, Ste 805, Los Angeles, CA 90015-3011 | 2005-06-13 |
| 1912481334 | Shahrzad Mokhtare | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-21 |
| 1821572249 | Jordan Cruz Rivera | Psychiatry & Neurology | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-21 |
| 1407330962 | Angelina Nieto-rodriguez | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1942784491 | Rena Muni | Family Medicine | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1295219756 | Sandra Morcos | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1922582485 | Daniel Raine | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1083198550 | Elizabeth Grigoryan | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-09-20 |
| 1104329606 | Andrea Castro | Case Manager/Care Coordinator | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2018-03-12 |
| 1639608433 | Michelle Yim | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave, Los Angeles, CA 90015-3048 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 90015 |
Please comment or provide details below to improve the information on PEDIATRIC AND FAMILY MEDICAL 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.