QUEENSCARE HEALTH CENTERS (NPI# 1164593331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164593331 |
| Entity Type | Organization |
| Organization Name | QUEENSCARE HEALTH CENTERS |
| Practice Address |
133 N Sunol Dr Los Angeles CA 90063-1429 |
| Mailing Address |
950 S Grand Ave 2nd Floor South Los Angeles CA 90015-4202 |
| Practice Telephone | 3239811660 |
| Practice Fax Number | 3239811662 |
| Mailing Telephone | 3236694302 |
| Mailing Fax Number | 3239533658 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MS. 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) |
960001177 | 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 |
| 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 |
| 1801967062 | Queenscare Health Centers | Clinic/Center | 4448 York Blvd, Los Angeles, CA 90041-3328 | 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 |
133 N SUNOL DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90063-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510069 | Joana Catalasan | Family Medicine | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2006-06-02 |
| 1437715950 | Victor A Soto | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2019-05-10 |
| 1679061592 | County of Los Angeles | Clinic/Center | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2018-04-26 |
| 1699271643 | Pearl Salcido | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2018-03-30 |
| 1881198448 | Katherine Rodriguez | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2018-03-20 |
| 1528561099 | Sammy Carrera | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2018-03-12 |
| 1114425923 | Darwin Lawrence White | Counselor | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2018-01-26 |
| 1871002279 | County of Los Angeles | Clinic/Center | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2017-09-28 |
| 1467890913 | Christina Anne Louie | Nurse Practitioner | 133 N Sunol Dr, Los Angeles, CA 90063-1429 | 2013-06-06 |
| 1457631731 | Evelyn D Dominguez | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063 | 2011-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772814 | Arturo Ibarra D.d.s. Inc | Dentist | 3604 East 1st Street, Los Angeles, CA 90063 | 2016-03-08 |
| 1528431046 | Caremore Health Plan | Nurse Practitioner | 3513 East 1st Street, Los Angeles, CA 90063 | 2015-11-05 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1780925495 | Elena M Esparza | Chiropractor | 303 N Record Ave, Los Angeles, CA 90063 | 2013-03-05 |
| 1992068480 | Elvia Nevarez | Dental Assistant | 3217 Ganahl St., Los Angeles, CA 90063 | 2012-06-19 |
| 1922397736 | Lac Usc Medical Center | General Acute Care Hospital | 1334 Lotta Dr., Los Angeles, CA 90063 | 2011-04-01 |
| 1821398116 | Jaime Armando Martinez | Physician Assistant | 3612 1/2 East First Street, Los Angeles, CA 90063 | 2010-11-02 |
| 1811100548 | Albert Tarnier Touriel | General Practice | 105 So Rowan Ave, Los Angeles, CA 90063 | 2007-05-08 |
| 1871705376 | Jose Luis Perez Md Inc | General Practice | 3000 E 1st Streest, Los Angeles, CA 90063 | 2007-05-04 |
| 1962550525 | Anil Butala | Pharmacy | 3706 E Cesar Chavez Ave, Los Angeles, CA 90063 | 2007-01-08 |
| Find all providers in zip 90063 | ||||
| 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 | 90063 |
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.