UNIVERSAL COMMUNITY HEALTH CENTER (NPI# 1174913776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174913776 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL COMMUNITY HEALTH CENTER |
| Practice Address |
2801 S San Pedro St Los Angeles CA 90011-2023 |
| Practice Telephone | 3232333100 |
| Practice Fax Number | 3232333124 |
| Mailing Telephone | 2137453636 |
| Mailing Fax Number | 2137453626 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | EDGAR ALEXANDER CHAVEZ (CEO) |
| Authorized Official Telephone | 3232333100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSAL COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A92965 | 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 |
| 1093023277 | Universal Community Health Center | Family Medicine | 1005 E Washington Blvd, Suite A, Los Angeles, CA 90021-3020 | 2010-09-21 |
| 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 |
2801 S SAN PEDRO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811179179 | Marina Compean | Social Worker | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2007-11-28 |
| 1952950479 | Carlos De Jesus Alvarado | Physician Assistant | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2019-09-06 |
| 1962997973 | Gustavo Victoria | Physician Assistant | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2018-06-22 |
| 1114479177 | Blanca Allen | Nurse Practitioner | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2016-10-25 |
| 1538574470 | Crystal Unzueta | Family Medicine | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2014-06-30 |
| 1407297518 | Teresa Sanchez | Physician Assistant | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2013-07-17 |
| 1538503974 | Isabelle Mai Pamart-tran | Physician Assistant | 2801 S San Pedro St, Los Angeles, CA 90011 | 2013-04-27 |
| 1710135058 | Leilani P Mookini | Physician Assistant | 2801 S San Pedro St, Los Angeles, CA 90011-2023 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| 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 | 90011 |
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.