SOUTH CENTRAL FAMILY HEALTH CENTER (NPI# 1851847982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851847982 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL FAMILY HEALTH CENTER |
| Practice Address |
1109 E Vernon Ave Los Angeles CA 90011-3718 |
| Practice Telephone | 3239084200 |
| Mailing Telephone | 3239084200 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | MR. RICHARD VELOZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3239084247 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CENTRAL FAMILY HEALTH CENTER PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY 53347 | CA | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHY 53347 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578089447 | South Central Family Health Center | Clinic/Center | 4415 S Central Ave, Los Angeles, CA 90011-3629 | 2017-08-22 |
| 1649792615 | South Central Family Health Center | Clinic/Center | 1028 E Vernon Ave, Los Angeles, CA 90011-3717 | 2017-07-12 |
| 1982063939 | South Central Family Health Center | Clinic/Center | 7910 Atlantic Ave Ste M, Cudahy, CA 90201-5774 | 2016-02-18 |
| 1669799896 | South Central Family Health Center | Clinic/Center | 2680 Saturn Ave Ste 220&280, Huntington Park, CA 90255-4377 | 2010-04-28 |
| 1487218970 | South Central Family Health Center | Clinic/Center | 7300 Santa Fe Ave, Huntington Park, CA 90255-5731 | 2019-04-30 |
| 1396891909 | South Central Family Health Center | Clinic/Center | 4425 S Central Ave, Los Angeles, CA 90011-3629 | 2007-01-26 |
| Street Address |
1109 E VERNON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1770797805 | Martin Luther Kingjr-multi-service Ambulatory Care Center | Pharmacy | 12021 South Wilmington Ave, Los Angeles, CA 90059 | 2007-05-09 |
| 1396867578 | County of Los Angeles - Auditor Controller | Pharmacy | 5850 S. Main St, Los Angeles, CA 90003-1215 | 2007-04-06 |
| 1649303306 | Women's & Children's Hospital Pharmacy | Pharmacy | 1240 N Mission Rd Trlr 7b, Los Angeles, CA 90033-1019 | 2007-03-13 |
| 1821146622 | Kaiser Foundation Health Plan Inc | Pharmacy | 1526 N Edgemont St Fl 1, Los Angeles, CA 90027-5260 | 2007-01-08 |
| 1033131107 | Aids Healthcare Foundation | Pharmacy | 1400 S Grand Ave Ste 801, Los Angeles, CA 90015-3068 | 2006-07-24 |
| 1215575873 | Lauren Andrea Tuason | Pharmacy | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2019-12-13 |
| 1710437231 | San Vincente Women's Total Health Center Inc | Pharmacy | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2016-10-07 |
| 1902355647 | East La Paz Family Medical Clinic Pa | Pharmacy | 3712 Whittier Blvd, Suite 1, Los Angeles, CA 90023-1733 | 2016-09-22 |
| 1558740852 | The Los Angeles Free Clinic | Pharmacy | 5205 Melrose Ave, Los Angeles, CA 90038-3144 | 2015-05-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
Please comment or provide details below to improve the information on SOUTH CENTRAL FAMILY HEALTH 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.