COMPLETE CARE COMMUNITY HEALTH CENTER, INC (NPI# 1689219628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689219628 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE COMMUNITY HEALTH CENTER, INC |
| Practice Address |
7301 State St Huntington Park CA 90255-5823 |
| Mailing Address |
3000 S Robertson Blvd Ste 280 Los Angeles CA 90034-3144 |
| Practice Telephone | 3235815120 |
| Mailing Telephone | 3107306362 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | YURY AKOPYAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3107306362 |
| 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 |
|---|---|
| Complete Care Community Health Center - Huntington Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
| 1962047902 | Complete Care Community Health Center, Inc | Clinic/Center | 941 S Atlantic Blvd Ste 101, Monterey Park, CA 91754-4722 | 2019-11-13 |
| 1215113964 | Complete Care Community Health Center, Inc | PACE Provider Organization | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 | 2008-01-11 |
| 1396380333 | Complete Care Community Health Center, Inc | Clinic/Center | 3831 Hughes Ave Ste 601, Culver City, CA 90232-6844 | 2019-11-13 |
| 1497207229 | Complete Care Community Health Center, Inc | PACE Provider Organization | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2016-10-27 |
| 1811397888 | Complete Care Community Health Center, Inc | PACE Provider Organization | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2014-08-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Complete Care Community Health Center, Inc. | 3000 S.robertson Blvd. Suite 280, Los Angeles, CA 90034 |
| Street Address |
7301 STATE ST |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194747386 | Hugo Noyola | Physician Assistant | 7301 State St, Huntington Park, CA 90255-5823 | 2006-07-24 |
| 1962876615 | La Milagrosa Medical Center, Inc. | General Practice | 7301 State St, Huntington Park, CA 90255-5823 | 2015-11-18 |
| 1659799021 | Anna Munoz Chavira | Pediatrics | 7301 State St, Huntington Park, CA 90255-5823 | 2014-04-02 |
| 1588951404 | Manuel I Figueroa M.d. Inc | Obstetrics & Gynecology | 7301 State St, Huntington Park, CA 90255-5823 | 2011-06-29 |
| 1285926626 | Century Women Medical Group, Inc. | Obstetrics & Gynecology | 7301 State St, Huntington Park, CA 90255-5823 | 2011-05-04 |
| 1518155001 | Lodie Nanette Spurlock | Physician Assistant | 7301 State St, Huntington Park, CA 90255-5823 | 2007-10-09 |
| 1740406255 | Shura Moreno Md Apc | Internal Medicine | 7301 State St, Huntington Park, CA 90255-5823 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| 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 |
|---|---|---|---|---|
| 1669799896 | South Central Family Health Center | Clinic/Center | 2680 Saturn Ave Ste 220&280, Huntington Park, CA 90255-4377 | 2010-04-28 |
| 1487218970 | South Central Family Health Center | Clinic/Center | 7300 Santa Fe Ave, Huntington Park, CA 90255-5731 | 2019-04-30 |
| 1790177582 | Altamed Health Services Corp | Clinic/Center | 1900 E Slauson Ave, Huntington Park, CA 90255-2725 | 2015-03-03 |
| 1679814818 | Altamed Health Services Corporation | Clinic/Center | 6330 Rugby Ave, Huntington Park, CA 90255-4066 | 2013-03-13 |
| 1851522288 | Altamed Health Services Corp | Clinic/Center | 6330 Rugby Ave, Suite 200, Huntington Park, CA 90255-6938 | 2009-08-03 |
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| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
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| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
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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.