VENICE FAMLIY CLINIC ACCESS CENTER (NPI# 1205100468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100468 |
| Entity Type | Organization |
| Organization Name | VENICE FAMLIY CLINIC ACCESS CENTER |
| Practice Address |
503 Olympic Blvd Santa Monica CA 90401-3311 |
| Mailing Address |
604 Rose Ave Venice CA 90291-2767 |
| Practice Telephone | 3103928636 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | MS. CARMEN IBARRA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3106647667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960000960 | CA | Ambulatory Health Care Facilities |
| Street Address |
503 OLYMPIC BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376811992 | The People Concern | Community/Behavioral Health | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2011-12-09 |
| 1942743612 | Venice Family Clinic | Clinic/Center | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2016-11-29 |
| 1841749686 | Robyn Reddell | Social Worker | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2016-09-21 |
| 1447624903 | Brittany Brumfield | Case Manager/Care Coordinator | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2015-11-20 |
| 1164800587 | Dante Harrington | Student in an Organized Health Care Education/Training Program | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2015-05-18 |
| 1841678737 | Kevin Earl Goins | Case Manager/Care Coordinator | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2015-05-11 |
| 1194103226 | Linda Hernandez | Case Manager/Care Coordinator | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2015-05-08 |
| 1740623149 | Alex Elliott | Case Manager/Care Coordinator | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2013-04-16 |
| 1790034726 | Brittney J Buchanan | Psychologist | 503 Olympic Blvd, Santa Monica, CA 90401-3311 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1407945629 | Planned Parenthood Los Angeles - Santa Monica Center | Clinic/Center | 1316 3rd Street Promenade, Ste 201, Santa Monica, CA 90401-1328 | 2006-10-12 |
| 1033563457 | Emperor's College of Traditional Oriental Medicine | Clinic/Center | 1807 Wilshire Blvd, Santa Monica, CA 90403-5652 | 2016-04-21 |
| 1659532448 | Venice Family Clinic | Clinic/Center | 2509 Pico Blvd, Santa Monica, CA 90405-1828 | 2008-06-24 |
| 1184883936 | Venice Family Clinic | Clinic/Center | 2509 Pico Blvd, Santa Monica, CA 90405-1828 | 2008-06-06 |
| 1558397067 | Venice Family Clinic | Clinic/Center | 2509 Pico Blvd, Santa Monica, CA 90405-1828 | 2006-06-25 |
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| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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| 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.