QUEENSCARE HEALTH CENTERS (NPI# 1801967062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801967062 |
| Entity Type | Organization |
| Organization Name | QUEENSCARE HEALTH CENTERS |
| Other Organization Name | QUEENSCARE HEALTH CENTERS - EAGLE ROCK |
| Practice Address |
4448 York Blvd Los Angeles CA 90041-3328 |
| Mailing Address |
950 S Grand Ave 2nd Floor South Los Angeles CA 90015-4202 |
| Practice Telephone | 3233445233 |
| Practice Fax Number | 3233445237 |
| Mailing Telephone | 3236694302 |
| Mailing Fax Number | 3239536244 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | MRS. BARBARA B HINES (PRESIDENT & CEO) |
| Authorized Official Telephone | 3236694305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
960001125 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| QueensCare Health Centers - Eagle Rock | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835743 | Queenscare Health Centers | Clinic/Center | 303 Loma Dr, Los Angeles, CA 90017-1103 | 2019-08-06 |
| 1992106082 | Queenscare Health Centers | Pharmacy | 4816 E 3rd St, Los Angeles, CA 90022-1602 | 2014-09-09 |
| 1952716441 | Queenscare Health Centers | Pharmacy | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2014-06-24 |
| 1104075282 | Queenscare Health Centers | Clinic/Center | 4816 E 3rd St, Los Angeles, CA 90022-1602 | 2008-09-15 |
| 1013083666 | Queenscare Health Centers | Clinic/Center | 150 N Reno St, Los Angeles, CA 90026-4656 | 2006-11-27 |
| 1639241888 | Queenscare Health Centers | Clinic/Center | 4618 Fountain Ave, Los Angeles, CA 90029-1830 | 2006-11-14 |
| 1164593331 | Queenscare Health Centers | Clinic/Center | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2006-11-10 |
| 1093886251 | Queenscare Health Centers | Clinic/Center | 184 Bimini Pl, Los Angeles, CA 90004-5903 | 2006-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | QUEENSCARE HEALTH CENTERS | 950 South Grand Ave Second Floor South, Los Angeles, CA 90015-4202 |
| Street Address |
4448 YORK BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241948 | Kathleen P Wood | Nurse Practitioner | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2005-11-03 |
| 1053784140 | America Yadira Issa | Community Health Worker | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2015-11-11 |
| 1023481256 | Lucy Rojas | Community Health Worker | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2015-11-10 |
| 1134533318 | Myla Pineda | Nurse Practitioner | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2014-06-17 |
| 1285912741 | Margarita A Rodriguez | Family Medicine | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2011-08-01 |
| 1366753006 | Ying Wang | Pharmacist | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2010-06-28 |
| 1841465721 | Dienan Nhu Tran | Dentist | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2008-04-23 |
| 1295919090 | Cecilia Diming Wu | Pharmacist | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2007-12-28 |
| 1992742886 | Illuminada Betita | Family Medicine | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2006-06-01 |
| 1831146174 | Ming Jacqueline Luong | Nurse Practitioner | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
| 1306461074 | Jwch Institute, Inc | Clinic/Center | 855 N Vermont Ave, Los Angeles, CA 90029-3516 | 2020-06-09 |
| 1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
| 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 | 90041 |
Please comment or provide details below to improve the information on QUEENSCARE HEALTH CENTERS.
| 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.