COMPLETE CARE COMMUNITY HEALTH CENTER, INC (NPI# 1811397888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811397888 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE COMMUNITY HEALTH CENTER, INC |
| Practice Address |
5831 Firestone Blvd Ste E South Gate CA 90280-3718 |
| Practice Telephone | 5628067545 |
| Practice Fax Number | 5628066062 |
| Mailing Telephone | 5628067545 |
| Mailing Fax Number | 5628066062 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | MR. YURY AKOPYAN (CEO) |
| Authorized Official Telephone | 5628067545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| 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 |
| 1689219628 | Complete Care Community Health Center, Inc | Clinic/Center | 7301 State St, Huntington Park, CA 90255-5823 | 2019-11-13 |
| 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 |
| 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 |
5831 FIRESTONE BLVD STE E |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790908259 | Kamila Comprehensive Health Center, Inc. | Physician Assistant | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2007-04-11 |
| 1881894715 | Dmitriy Romanenko | Obstetrics & Gynecology | 5831 Firestone Blvd Ste E, South Gate, CA 90280-3718 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831232677 | Kamila Comprehensive Health Center, Inc. | PACE Provider Organization | 5831 Firestone Blvd, Suite E, South Gate, CA 90280-3718 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191932 | One Family Health Enterprise | PACE Provider Organization | 206 E 185th St, Carson, CA 90746-1706 | 2020-10-12 |
| 1003445073 | North East Medical Services | PACE Provider Organization | 728 Pacific Ave Ste 201, San Francisco, CA 94133-4449 | 2020-04-02 |
| 1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
| 1669037362 | Medrev | PACE Provider Organization | 558 Chelsea Way, Corona, CA 92879-5880 | 2019-05-08 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1063988384 | Sequoia Pace, LLC. | PACE Provider Organization | 1649 Van Ness Ave, Fresno, CA 93721-1128 | 2018-10-15 |
| 1457838955 | La Coast Pace, LLC | PACE Provider Organization | 1220 E 4th St, Long Beach, CA 90802-1831 | 2018-07-26 |
| 1194202697 | Pacific Pace, LLC | PACE Provider Organization | 50 Alessandro Pl Ste A20, Pasadena, CA 91105-3149 | 2018-07-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1063901767 | Humboldt Mobile Massage, Inc | PACE Provider Organization | 1737 Margaret Ln, Arcata, CA 95521-6838 | 2018-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
Please comment or provide details below to improve the information on COMPLETE CARE COMMUNITY HEALTH 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.