COUNTY OF LOS ANGELES (NPI# 1720090616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720090616 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LOS ANGELES |
| Other Organization Name | LAKE LOS ANGELES COMMUNITY CLINIC |
| Practice Address |
16921 E Avenue O Ste G Palmdale CA 93591-3045 |
| Practice Telephone | 6619458444 |
| Mailing Telephone | 6619458444 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-12-26 |
| Authorized Official Name | MS. BERYL BROOKS (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 3238907775 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF LOS ANGELES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Los Angeles Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1194373431 | County of Los Angeles | Ambulance | 1320 N Eastern Ave, Los Angeles, CA 90063-3244 | 2019-08-29 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
| 1639573363 | County of Los Angeles | Chronic Disease Hospital | 1983 Marengo St Rm B4h100, Gi/liver Division, Diagnostic and Treatment Building, Los Angeles, CA 90033-1370 | 2014-10-09 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1801160296 | County of Los Angeles | General Acute Care Hospital | 2020 Zonal Ave Rm 115, Los Angeles, CA 90089-0121 | 2012-03-02 |
| 1861765877 | County of Los Angeles | Clinic/Center | 522 S. San Pedro Street, Los Angeles, CA 90013-2102 | 2012-02-22 |
| 1740465582 | County of Los Angeles | Clinical Medical Laboratory | 12750 Erickson Ave, Downey, CA 90242-4024 | 2007-12-28 |
| 1447444294 | County of Los Angeles | Clinic/Center | 241 N Figueroa St, Los Angeles, CA 90012-2601 | 2007-09-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF LOS ANGELES | 222 S Hill St, 3rd Floor, Los Angeles, CA 90012-3508 |
| Street Address |
16921 E AVENUE O STE G |
| City | PALMDALE |
| State | CA |
| Zip Code | 93591-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919528 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2010-08-06 |
| 1366571069 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2007-03-06 |
| 1639209927 | County of Los Angeles | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2007-03-06 |
| 1164551230 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2007-03-05 |
| 1821101643 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2006-08-16 |
| 1730292558 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109074 | Jeanette Reene Martin | Licensed Vocational Nurse | 38510 92nd St E, Palmdale, CA 93591-2230 | 2020-09-22 |
| 1538723812 | Julaida Andres Lubos | Registered Nurse | 16921 E Avenue O, Palmdale, CA 93591-3045 | 2019-04-23 |
| 1508013822 | Yara Scarlette Lopez Tinoco | Dentist | 40112 170th St E Ste C, Palmdale, CA 93591-3154 | 2008-08-19 |
| 1336698109 | Dr Yara Lopez Dentistry Professional Corp | Dentist | 40112 170th St E Ste C, Palmdale, CA 93591-3154 | 2016-09-22 |
| 1942518949 | Lawrence Thomas Stewart Jr. | Rehabilitation Practitioner | 16265 Wells Fargo Ave, Lake La, CA 93591-3240 | 2010-09-24 |
| 1669732426 | Wilsona Elementary School District | Local Education Agency (LEA) | 18050 E Avenue O, Palmdale, CA 93591-3800 | 2012-05-25 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215009626 | Palmdale Ambulatory Surgery Center | Clinic/Center | 1529 East Palmdale Blvd, Ste 207, Palmdale, CA 93550 | 2006-11-14 |
| 1730191628 | County of Los Angeles | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2006-08-12 |
| 1265951370 | Heathworks Med Group of California A Medical Corporation | Clinic/Center | 1011 Lockheed Way, Palmdale, CA 93599-0001 | 2017-09-11 |
| 1093267320 | Nikta Chiropractic, Inc. | Clinic/Center | 1020 E Palmdale Blvd, Suite 101c, Palmdale, CA 93550-4756 | 2016-11-03 |
| 1801257860 | Emergent Care Inc | Clinic/Center | 37255 Kingcup Ter, Palmdale, CA 93551-6231 | 2016-03-17 |
| 1982919528 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2010-08-06 |
| 1790090330 | County of Los Angeles Auditor Controller | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2010-08-06 |
| 1053440768 | County of Los Angeles | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2007-03-06 |
| 1578692281 | County of Los Angeles Auditor Controller | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2007-03-06 |
| 1366571069 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2007-03-06 |
| Find all providers in PALMDALE | ||||
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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.