PEDIATRIC AND FAMILY MEDICAL CENTER (NPI# 1528337029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528337029 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND FAMILY MEDICAL CENTER |
| Other Organization Name | EISNER HEALTH |
| Practice Address |
1500 S Olive St Los Angeles CA 90015-3023 |
| Practice Telephone | 2137475542 |
| Practice Fax Number | 2133423412 |
| Mailing Telephone | 2137475542 |
| Mailing Fax Number | 2133423412 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | CHONA DE LEON (INTERIM PRESIDENT & CEO, SR. VP&COO) |
| Authorized Official Telephone | 2137475542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eisner Health | 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 |
1500 S OLIVE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598890824 | Alicia Basurto | Social Worker | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2007-02-23 |
| 1790312239 | Kimberly Paola Huertas | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2020-03-25 |
| 1265075097 | Janina Fabian | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2019-10-24 |
| 1023504107 | Brenda Cortez | Dental Hygienist | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2018-07-02 |
| 1063910560 | Mariella Gonzalez | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2018-01-30 |
| 1609395474 | Sanam Yaghtin | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2017-09-13 |
| 1619493103 | Karla Vasquez | Counselor | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2017-08-17 |
| 1932502952 | Maria Alejandra Heman | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-10-04 |
| 1174932412 | Claudia Gomez | Student in an Organized Health Care Education/Training Program | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-08-12 |
| 1225455967 | Rosa Garcia | Case Manager/Care Coordinator | 1500 S Olive St, Los Angeles, CA 90015-3023 | 2014-03-19 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1023633864 | Andrea Forcina | Clinic/Center | 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 | 2020-06-08 |
| 1831710706 | Beyond Cancer Family Therapy Inc | Clinic/Center | 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 | 2020-05-02 |
| 1518599851 | Vip Community Mental Health Center, Inc | Clinic/Center | 2820 E 1st St, Los Angeles, CA 90033-3636 | 2020-02-05 |
| 1699306340 | Vip Community Mental Health Center, Inc. | Clinic/Center | 2730 Ganahl St, Los Angeles, CA 90033-2019 | 2020-01-31 |
| 1629618350 | Ustawi | Clinic/Center | 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 | 2020-01-10 |
| 1073158622 | Los Angeles County Department of Mental Health | Clinic/Center | 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 | 2019-11-07 |
| 1790327179 | Otc LLC | Clinic/Center | 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 | 2019-10-17 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1427515246 | Los Angeles County Department of Mental Health | Clinic/Center | 11110 W Pico Blvd, Los Angeles, CA 90064-1709 | 2019-02-28 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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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.