NORTHEAST COMMUNITY CLINIC (NPI# 1568607539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568607539 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY CLINIC |
| Other Organization Name | NORTHEAST COMMUNITY CLINIC MOBILE MEDICAL VAN |
| Practice Address |
5820 N Figueroa St Los Angeles CA 90042-4228 |
| Mailing Address |
2550 W Main St Suite 301 Alhambra CA 91801-1694 |
| Practice Telephone | 3232563884 |
| Practice Fax Number | 3232586307 |
| Mailing Telephone | 6264576900 |
| Mailing Fax Number | 6264575022 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | DR. 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM71120F | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Community Clinic Mobile Medical Van | Doing Business As Name - Organization |
| 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 |
| 1366957508 | Northeast Community Clinic | Internal Medicine | 4129 Gage Ave, Bell, CA 90201-1128 | 2017-12-11 |
| 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 |
| Street Address |
5820 N FIGUEROA ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134291370 | Alice Mendez Xavier | Nurse Practitioner | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2006-11-14 |
| 1275048415 | Northeast Community Clinic | Obstetrics & Gynecology | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2017-12-11 |
| 1053609750 | Wendy Sotelo | Counselor | 5820 N Figueroa St, Los Angeles, CA 90042 | 2011-07-14 |
| 1528351020 | Rosa Castellanos | Health Educator | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2011-05-17 |
| 1700195799 | Irma Jimenez | Health Educator | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2010-09-24 |
| 1992013452 | Aidee Cediel | Health Educator | 5820 N Figueroa St, Los Angeles, CA 90042-4228 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| 1609403807 | Doctors On The Go Professional Group Corp. | General Practice | 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 | 2020-03-26 |
| 1568001584 | Ahdout Health Services, Inc. | General Practice | 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 | 2019-12-23 |
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1972064004 | Divine Help Medical Group Inc | General Practice | 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 | 2019-03-29 |
| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90042 |
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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.