QUEENSCARE HEALTH CENTERS (NPI# 1013083666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083666 |
| Entity Type | Organization |
| Organization Name | QUEENSCARE HEALTH CENTERS |
| Practice Address |
150 N Reno St Los Angeles CA 90026-4656 |
| Mailing Address |
950 S Grand Ave 2nd Floor South Los Angeles CA 90015-4202 |
| Practice Telephone | 2133807298 |
| Practice Fax Number | 2133851123 |
| Mailing Telephone | 3236694302 |
| Mailing Fax Number | 3239536244 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-12-22 |
| 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) |
960000219 | CA | Ambulatory Health Care Facilities |
| 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 |
| 1639241888 | Queenscare Health Centers | Clinic/Center | 4618 Fountain Ave, Los Angeles, CA 90029-1830 | 2006-11-14 |
| 1801967062 | Queenscare Health Centers | Clinic/Center | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2006-11-10 |
| 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 |
150 N RENO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90026-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813146 | Queens Care Family Clinic | Clinic/Center | 150 N Reno St, Los Angeles, CA 90026-4656 | 2005-10-04 |
| 1548700222 | Yessica Martinez | Community Health Worker | 150 N Reno St, Los Angeles, CA 90026-4656 | 2017-03-01 |
| 1588018741 | Nhan Pham | Internal Medicine | 150 N Reno St, Los Angeles, CA 90026-4656 | 2016-04-14 |
| 1811360282 | Urania Guardado | Community Health Worker | 150 N Reno St, Los Angeles, CA 90026-4656 | 2015-11-07 |
| 1699162842 | Jessica Khankhanian | Pediatrics | 150 N Reno St, Los Angeles, CA 90026-4656 | 2015-04-24 |
| 1033535406 | Samantha Smith | Nurse Practitioner | 150 N Reno St, Los Angeles, CA 90026-4656 | 2014-03-10 |
| 1992130827 | Liza Lynne Rimular | Nurse Practitioner | 150 N Reno St, Los Angeles, CA 90026-4656 | 2013-09-10 |
| 1477860773 | Krystle Cher Purificacion Wu | Pharmacist | 150 N Reno St, Los Angeles, CA 90026-4656 | 2010-09-08 |
| 1427370618 | Moe Aung | Internal Medicine | 150 N Reno St, Los Angeles, CA 90026-4656 | 2010-02-16 |
| 1700051968 | Connie Millare Pasco | Dentist | 150 N Reno St, Los Angeles, CA 90026-4656 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305684 | Mieshia Gaston | Technician | 831 Lucile Ave, 201, Los Angeles, CA 90026 | 2019-09-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| 1720504343 | Nadia Jocelyn Munoz | Counselor | 155 N. Occidental Blvd., Los Angeles, CA 90026 | 2017-08-15 |
| 1518489434 | Paul Keeley | Marriage & Family Therapist | 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 | 2017-07-12 |
| 1326598079 | Yen-chen Chen | Speech-Language Pathologist | 2836 Sunset Blvd., Los Angeles, CA 90026 | 2016-10-06 |
| 1386038446 | Grace Ann M Navos | Physical Therapy Assistant | 2708 Glassell St, Los Angeles, CA 90026 | 2015-03-26 |
| 1578964227 | Giselle Louise Jones | Social Worker | 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 | 2014-09-12 |
| 1619394160 | Mary Ann Flores Topico | Nurse Practitioner | 1379 Angelina St., Los Angeles, CA 90026 | 2014-03-22 |
| 1447674981 | Tribeca Pediatrics, PC | Pediatrics | 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 | 2014-02-04 |
| Find all providers in zip 90026 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | 90026 |
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.