JWCH INSTITUTE, INC. (NPI# 1386708634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386708634 |
| Entity Type | Organization |
| Organization Name | JWCH INSTITUTE, INC. |
| Other Organization Name | JWCH NORWALK REGIONAL HTH CTR |
| Practice Address |
12360 E Firestone Blvd Norwalk CA 90650-4324 |
| Mailing Address |
5650 Jillson St Commerce CA 90040-1482 |
| Practice Telephone | 5622810305 |
| Practice Fax Number | 5622810309 |
| Mailing Telephone | 3232014516 |
| Mailing Fax Number | 3232150170 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | MR. ALVARO P. BALLESTEROS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3232014516 |
| Is Organization Subpart | Y |
| Parent Organization Name | JWCH INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 550000250 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550000250 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM71151F | 05 |
| Other Name | Type Code |
|---|---|
| JWCH Norwalk Regional Hth Ctr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
| 1295201044 | Jwch Institute, Inc. | Clinic/Center | 500 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-10-19 |
| 1245786532 | Jwch Institute, Inc. | Clinic/Center | 10750 Laurel Ave, Whittier, CA 90605-3282 | 2016-08-28 |
| 1841661030 | Jwch Institute, Inc. | Clinic/Center | 5600 Rickenbacker Rd, Bell, CA 90201-6418 | 2015-10-13 |
| 1578934246 | Jwch Institute, Inc. | Clinic/Center | 643 S San Pedro St, Los Angeles, CA 90014-2464 | 2015-10-07 |
| 1104293141 | Jwch Institute, Inc. | Clinic/Center | 303 E 52nd St, Los Angeles, CA 90011-4513 | 2015-08-25 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1376794560 | Jwch Institute, Inc. | Psychologist | 521 S. San Pedro Street, Los Angeles, CA 90013-2148 | 2008-10-06 |
| 1912189424 | Jwch Institute, Inc. | Clinic/Center | 3634 Martin Luther King Jr Blvd, Lynwood, CA 90262-2607 | 2007-11-27 |
| 1598829350 | Jwch Institute, Inc. | Clinic/Center | 954 N Vermont, Los Angeles, CA 90029-3529 | 2006-12-19 |
| Street Address |
12360 E FIRESTONE BLVD |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.