JWCH INSTITUTE, INC. (NPI# 1609486869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609486869 |
| Entity Type | Organization |
| Organization Name | JWCH INSTITUTE, INC. |
| Practice Address |
340 N Madison Ave Los Angeles CA 90004-3504 |
| Mailing Address |
5650 Jillson St Commerce CA 90040-1482 |
| Practice Telephone | 3232014516 |
| Mailing Telephone | 3232014516 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MR. ALVARO PROSPERO BALLESTEROS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3232014516 |
| 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 |
|---|---|
| JWCH PATH Clinic | 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 |
| 1386708634 | Jwch Institute, Inc. | Clinic/Center | 12360 E Firestone Blvd, Norwalk, CA 90650-4324 | 2006-12-21 |
| Street Address |
340 N MADISON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982758157 | Nancy Choi | Psychologist | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2007-01-23 |
| 1326685710 | Julie Crystal Dominguez | Case Manager/Care Coordinator | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2019-12-04 |
| 1477020709 | Erin Ennis | Counselor | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2018-10-24 |
| 1700397676 | Marisol Lopez | Case Manager/Care Coordinator | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2017-10-19 |
| 1497204069 | Catherine Margaret Schwab | Social Worker | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-23 |
| 1366991945 | Martin Sanchez | Social Worker | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-23 |
| 1881143493 | Renee Reyes | Social Worker | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-23 |
| 1760931331 | Jonathon Heckman | Social Worker | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-23 |
| 1679022248 | Angel Vargas | Social Worker | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-23 |
| 1699223495 | Randy C Wirebaugh | Case Manager/Care Coordinator | 340 N Madison Ave, Los Angeles, CA 90004-3504 | 2016-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| 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 | 90004 |
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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.