ST. JOHN'S WELL CHILD & FAMILY CENTER, INC (NPI# 1619106838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619106838 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S WELL CHILD & FAMILY CENTER, INC |
| Practice Address |
5701 S Hoover St Los Angeles CA 90037-4045 |
| Practice Telephone | 3235411600 |
| Practice Fax Number | 3235411601 |
| Mailing Telephone | 3235411600 |
| Mailing Fax Number | 3235411601 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MR. BOB ADAMIK (CHIEF HUMAN RESOUCE OFFICER) |
| Authorized Official Telephone | 3235411604 |
| Authorized Official Credential | DR. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NP18546 | CA | Ambulatory Health Care Facilities |
| Street Address |
5701 S HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649371261 | Ellen Lerner Rothman | Pediatrics | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2006-09-26 |
| 1417394875 | Angela F. Burrell | Registered Nurse | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2013-05-25 |
| 1972840346 | Mohammed Abbas Husain | Dentist | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2013-01-05 |
| 1598010308 | Farid Hassanpour | Pediatrics | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2012-07-17 |
| 1649538034 | Lisa A Flynn | Physician Assistant | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2012-04-24 |
| 1467718353 | Mary J Silvestrini | Social Worker | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2012-04-05 |
| 1538445945 | Mary Grace Santos | Physician Assistant | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2011-10-30 |
| 1942539184 | Nancy M Reyes | Licensed Vocational Nurse | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2009-12-17 |
| 1972745990 | Elena Fernandez | Counselor | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2009-04-06 |
| 1063687523 | Patricia Claire Howard | Physician Assistant | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2008-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
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| 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 | 90037 |
Please comment or provide details below to improve the information on ST. JOHN'S WELL CHILD & FAMILY CENTER, INC.
| 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.