PEDIATRIC AND FAMILY MEDICAL CENTER (NPI# 1760018527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760018527 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND FAMILY MEDICAL CENTER |
| Other Organization Name | SABAN EISNER FAMILY HEALTH |
| Practice Address |
6043 Hollywood Blvd Los Angeles CA 90028-5411 |
| Mailing Address |
1530 S Olive St Fl 6 Los Angeles CA 90015-3023 |
| Practice Telephone | 3233371707 |
| Mailing Telephone | 2133423325 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | WARREN BRODINE (PRESIDENT & CEO) |
| Authorized Official Telephone | 2137461037 |
| 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 |
|---|---|
| Saban Eisner Family 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 |
| 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 |
| 1720468804 | Pediatric and Family Medical Center | Clinic/Center | 1513 S Grand Ave, Suite 220 & 250, Los Angeles, CA 90015-3070 | 2015-06-04 |
| Street Address |
6043 HOLLYWOOD BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90028-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745501 | Nikolaos M Stefanidis | Counselor | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2007-02-08 |
| 1346850534 | Julia S Chan-lopez | Nurse Practitioner | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-08-03 |
| 1164903167 | Brenda Natalie Larios | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-08-27 |
| 1407344773 | Richelle Hope Legaspi | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-04-23 |
| 1053860510 | La Donna Faine | Case Manager/Care Coordinator | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-09-26 |
| 1508311887 | Rosa Isabel Hidalgo | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-17 |
| 1982159257 | Meredith Buchanan | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-16 |
| 1437526738 | Michelle Kuranishi | Psychologist | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
| 1255708558 | Rebecca Anne Gillogly | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
| 1902273204 | Michael Endes | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
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| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| 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 |
| 1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
| 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 | 90028 |
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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.