UNIVERSAL COMMUNITY HEALTH CENTER (NPI# 1093023277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093023277 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL COMMUNITY HEALTH CENTER |
| Practice Address |
1005 E Washington Blvd Suite A Los Angeles CA 90021-3020 |
| Practice Telephone | 2137453636 |
| Mailing Telephone | 3232333100 |
| Mailing Fax Number | 3232333124 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | EDGAR ALEXANDER CHAVEZ (CEO) |
| Authorized Official Telephone | 3232333100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
| 1932757820 | Universal Community Health Center | Clinic/Center | 2098 S Central Ave, Los Angeles, CA 90011-1235 | 2019-09-03 |
| 1174913776 | Universal Community Health Center | Family Medicine | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2015-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSAL COMMUNITY HEALTH CENTER | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3020 |
| Street Address |
1005 E WASHINGTON BLVD SUITE A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90021-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659366136 | Hector Castillo | Specialist | 1005 E Washington Blvd, Los Angeles, CA 90021-3020 | 2005-09-12 |
| 1669968574 | Jessica Flores | Physician Assistant | 1005 E Washington Blvd, Los Angeles, CA 90021-3068 | 2018-07-03 |
| 1912325051 | Diana Carolina Cantero | Physician Assistant | 1005 E Washington Blvd, Los Angeles, CA 90021-3020 | 2014-04-05 |
| 1336311539 | Kp Medical Corporation | Specialist | 1005 E Washington Blvd, Suite A-1, Los Angeles, CA 90021-3020 | 2008-03-27 |
| 1912182684 | Alfa Allied Medical Group Inc | Family Medicine | 1005 E Washington Blvd, Los Angeles, CA 90021-3020 | 2007-12-31 |
| 1962697219 | Agustin Jaime Lara | Family Medicine | 1005 E Washington Blvd, Ste A, Los Angeles, CA 90021-3020 | 2007-09-10 |
| 1962497149 | Kerry Park | Specialist | 1005 E Washington Blvd, Suite A-1, Los Angeles, CA 90021-3020 | 2005-09-14 |
| 1306831870 | Apc Medical Group, Inc. | Specialist | 1005 E Washington Blvd, #a, Los Angeles, CA 90021-3020 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104222 | Para Los Ninos | Community/Behavioral Health | 835 Stanford Avenue, Los Angeles, CA 90021 | 2019-03-25 |
| 1750826293 | Dion David Thomas | Counselor | 600 E 7th Street #105, Los Angeles, CA 90021 | 2016-12-19 |
| 1255713921 | Stephanie Castillo | Counselor | 453 S. Indiana St., Los Angeles, CA 90021 | 2015-06-18 |
| 1700217437 | Gabriela Turcios | Counselor | 2116-2118 S. Central Ave, Los Angeles, CA 90021 | 2013-12-05 |
| 1033456934 | Brenda Denise Perez | Counselor | 838 Est. 6th Treet, Los Angeles, CA 90021 | 2013-01-11 |
| 1083885370 | Dina Moss | Rehabilitation Practitioner | 921 Compton Blv, Compton, CA 90021 | 2008-03-14 |
| 1760692339 | Deanna Perez | Physician Assistant | 515 E. 6th Street, Los Angeles, CA 90021 | 2007-05-23 |
| 1033322573 | Nguyen Trong Doan | Physician Assistant | 1663 Beverly Blvd., #201, Los Angeles, CA 90021 | 2007-05-08 |
| 1740834258 | Janette Lozada | Counselor | 849 E 6th St, Los Angeles, CA 90021 | 2019-08-01 |
| 1588166789 | Roseanna Low | Counselor | 905 E 8th St, Los Angeles, CA 90021 | 2018-03-02 |
| Find all providers in zip 90021 | ||||
| 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 |
|---|---|---|---|---|
| 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 | 90021 |
Please comment or provide details below to improve the information on UNIVERSAL COMMUNITY HEALTH CENTER.
| 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.