ARROYO VISTA FAMILY HEALTH FOUNDATION (NPI# 1669579942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669579942 |
Entity Type | Organization |
Organization Name | ARROYO VISTA FAMILY HEALTH FOUNDATION |
Practice Address |
2411 N Broadway Los Angeles CA 90031-2218 |
Mailing Address |
6000 N Figueroa St Los Angeles CA 90042-4232 |
Practice Telephone | 3239872000 |
Practice Fax Number | 3239871448 |
Mailing Telephone | 3232545291 |
Mailing Fax Number | 3232544618 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. LORRAINE ESTRADAS (CHEIF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3232545291 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FHC71098F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922272046 | Arroyo Vista Family Health Foundation | Clinic/Center | 303 Loma Dr Ste 202, Los Angeles, CA 90017-1103 | 2008-04-18 |
1174665905 | Arroyo Vista Family Health Foundation | Clinic/Center | 2411 N. Broadway, Los Angeles, CA 90031-2218 | 2007-02-12 |
1316088479 | Arroyo Vista Family Health Foundation | Clinic/Center | 4815 Valley Blvd, Suite C, Los Angeles, CA 90032-3856 | 2007-02-10 |
1447353701 | Arroyo Vista Family Health Foundation | Clinic/Center | 6000 N Figueroa Street, Los Angeles, CA 90042-4232 | 2006-09-05 |
1346200342 | Arroyo Vista Family Health Foundation | Clinic/Center | 303 South Loma Drive, Suite 202, Los Angeles, CA 90017 | 2006-03-24 |
1821302027 | Arroyo Vista Family Health Foundation | Clinic/Center | 4837 Huntington Dr N, Suite 1, Los Angeles, CA 90032-1981 | 2010-07-29 |
1891837621 | Arroyo Vista Family Health Foundation | Clinic/Center | 6000 N Figueroa St, - Mobile Clinic, Los Angeles, CA 90042-4232 | 2007-02-12 |
Street Address |
2411 N BROADWAY |
City | LOS ANGELES |
State | CA |
Zip Code | 90031-2218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336132166 | Teresia Mccollister | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2005-08-26 |
1720552037 | Irma Madrigal Campos | Dietitian, Registered | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2019-01-20 |
1881002673 | Ilia Jbankov | Nurse Practitioner | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2014-07-24 |
1629411228 | Hugh Bach | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2013-04-12 |
1821304965 | Hassan B Halawi | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2010-08-26 |
1124283478 | Victoria Rachele Rossi-campagna | Optometrist | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2008-07-26 |
1548439524 | Diala Faddoul | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2008-02-25 |
1528137809 | Pensri Smithedajkul | Nurse Practitioner | 2411 N Broadway, Los Angeles, CA 90031 | 2006-11-08 |
1962596072 | Lin-huey Hwang | Pediatrics | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2006-10-03 |
1215920046 | Anh Huu Nguyen | Family Medicine | 2411 N Broadway, Los Angeles, CA 90031-2218 | 2005-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 | 90031 |
Please comment or provide details below to improve the information on ARROYO VISTA FAMILY HEALTH FOUNDATION.
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.