FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. (NPI# 1922416411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922416411 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. |
| Other Organization Name | FHCCGLA MAYWOOD FAMILY MEDICAL CENTER |
| Practice Address |
4943 Slauson Ave Maywood CA 90270-3020 |
| Mailing Address |
6513 Garfield Ave Bell Gardens CA 90201-1805 |
| Practice Telephone | 5629289600 |
| Practice Fax Number | 3239235526 |
| Mailing Telephone | 5629289600 |
| Mailing Fax Number | 5629278603 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MRS. RAQUEL R. VILLA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5627765014 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
CA | Ambulatory Health Care Facilities | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
CA | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FHCCGLA Maywood Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1902155187 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 200 Mines Avenue, Montebello, CA 90640 | 2012-09-05 |
| 1811032436 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 22310 Wardham Ave, Hawaiian Gardens, CA 90716-1740 | 2007-02-21 |
| 1427548502 | Family Health Care Centers of Greater Los Angeles, Inc. | Pharmacy | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2018-05-15 |
| 1346418480 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2008-02-12 |
| 1073722492 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2007-05-22 |
| 1184833501 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2007-05-22 |
| 1598974982 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6501 Garfield Ave, Bell Gardens, CA 90201-1805 | 2007-05-22 |
| Street Address |
4943 SLAUSON AVE |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124372347 | Priya Bhakhri Tandon | Pediatrics | 4943 Slauson Ave, Maywood, CA 90270-3020 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| 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 |
|---|---|---|---|---|
| 1598287682 | Mission City Community Network Inc | Clinic/Center | 5800 King Ave, Maywood, CA 90270-2928 | 2017-07-11 |
| 1528146875 | Access Community Health Network | Clinic/Center | 318 Madison St, Maywood, IL 60153-2151 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, 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.