PEDIATRIC AND FAMILY MEDICAL CENTER (NPI# 1225664089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225664089 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND FAMILY MEDICAL CENTER |
| Other Organization Name | SABAN EISNER FAMILY HEALTH |
| Practice Address |
5205 Melrose Ave Los Angeles CA 90038-3144 |
| Mailing Address |
1530 S Olive St Fl 6 Los Angeles CA 90015-3023 |
| Practice Telephone | 2133423325 |
| Mailing Telephone | 2133423325 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | WARREN BRODINE (PRESIDENT & CEO) |
| Authorized Official Telephone | 2137461037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saban Eisner Family Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586367 | Pediatric and Family Medical Center | Clinic/Center | 5400 Balboa Blvd Ste 131, Encino, CA 91316-5204 | 2019-09-10 |
| 1235641887 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd Unit Lower, Sherman Oaks, CA 91403-3006 | 2017-11-03 |
| 1750917514 | Pediatric and Family Medical Center | Clinic/Center | 8405 Beverly Blvd, Los Angeles, CA 90048-3401 | 2020-03-12 |
| 1760018527 | Pediatric and Family Medical Center | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-03-12 |
| 1477103299 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd Ste 100, Sherman Oaks, CA 91403-3046 | 2019-09-13 |
| 1225687197 | Pediatric and Family Medical Center | Clinic/Center | 1921 Maple Ave, Los Angeles, CA 90011-1036 | 2019-09-04 |
| 1730547019 | Pediatric and Family Medical Center | Clinic/Center | 15251 Roscoe Blvd, Panorama City, CA 91402-4401 | 2016-02-02 |
| 1982075107 | Pediatric and Family Medical Center | Clinic/Center | 15477 Ventura Blvd, Suite 300, Sherman Oaks, CA 91403-3006 | 2015-10-14 |
| 1982075115 | Pediatric and Family Medical Center | Clinic/Center | 6618 Van Nuys Blvd, Van Nuys, CA 91405-4617 | 2015-10-14 |
| 1720468804 | Pediatric and Family Medical Center | Clinic/Center | 1513 S Grand Ave, Suite 220 & 250, Los Angeles, CA 90015-3070 | 2015-06-04 |
| Street Address |
5205 MELROSE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811921323 | David Luna | Family Medicine | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2006-07-10 |
| 1063980928 | Manisha Ati | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2018-11-08 |
| 1275016156 | Angelica Galvan Jimenez | Registered Nurse | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2018-09-07 |
| 1609395649 | Jennifer Mai-uyen Nguyen | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2017-09-11 |
| 1801313515 | Jennifer Mary Matthes | Social Worker | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2017-08-23 |
| 1528515301 | Belinda Yoo | Nurse Practitioner | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2016-09-08 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| 1720490790 | Hei-wah Wong | Family Medicine | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2014-05-27 |
| 1184047300 | Saban Community Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2014-01-23 |
| 1740549948 | The Los Angeles Free Clinic | Clinic/Center | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| 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 | 90038 |
Please comment or provide details below to improve the information on PEDIATRIC AND FAMILY MEDICAL 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.