FRIENDS OF FAMILY HEALTH CENTER (NPI# 1871818138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871818138 |
Entity Type | Organization |
Organization Name | FRIENDS OF FAMILY HEALTH CENTER |
Practice Address |
501 S Idaho St Suite 100 La Habra CA 90631-6047 |
Practice Telephone | 5626900400 |
Practice Fax Number | 5626903182 |
Mailing Telephone | 5626900400 |
Mailing Fax Number | 5626903182 |
Enumeration Date | 2010-03-30 |
Last Update Date | 2020-04-29 |
Authorized Official Name | MRS. DAWN TA (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5626900400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | A106562 | CA | Allopathic & Osteopathic Physicians |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
13382 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
50015 | CA | Dental Providers |
N | 207R00000X | Internal Medicine | A80057 | CA | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | G51286 | CA | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | A81700 | CA | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 20A9142 | CA | Allopathic & Osteopathic Physicians |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
8539 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922489665 | Friends of Family Health Center | Clinic/Center | 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | 2015-06-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FRIENDS OF FAMILY HEALTH CENTER | 501 S Idaho St Ste 100, La Habra, CA 90631-6047 |
Street Address |
501 S IDAHO ST SUITE 100 |
City | LA HABRA |
State | CA |
Zip Code | 90631-6047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538123443 | Thomas W. Shaw | Psychologist | 501 S Idaho St, Suite 250, La Habra, CA 90631-6047 | 2006-04-17 |
1508286915 | Kevin Gan | Internal Medicine | 501 S Idaho St, La Habra, CA 90631-6047 | 2014-04-24 |
1841579489 | Mehran Rouhani Sisan | Internal Medicine | 501 S Idaho St, Suite 100, La Habra, CA 90631-6047 | 2011-08-14 |
1710271143 | Diba Farah | Pediatrics | 501 S Idaho St, Suite 190, La Habra, CA 90631-6047 | 2011-06-02 |
1568778181 | Albert Barnett | Family Medicine | 501 S Idaho St, Suite 300, La Habra, CA 90631-6047 | 2010-08-19 |
1073794152 | Esther Guardado | Physician Assistant | 501 S Idaho St, 100, La Habra, CA 90631 | 2007-11-17 |
1447449343 | Varona Nikore | Specialist | 501 S Idaho St, Suite 190, La Habra, CA 90631-6047 | 2007-10-17 |
1104015981 | Betty Yang | Dentist | 501 S Idaho St, La Habra, CA 90631-6047 | 2007-10-17 |
1356538490 | Friends of Children Health Center | Clinic/Center | 501 S Idaho St, La Habra, CA 90631-6047 | 2007-10-03 |
1366584146 | Eduardo Vasquez | Dentist | 501 S Idaho St, Suite 120, La Habra, CA 90631-6047 | 2007-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
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Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1932562964 | Vista Community Clinic | Clinic/Center | 341 S. Hillcrest St., La Habra, CA 90631 | 2016-03-29 |
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1497203541 | Vista Community Clinic | Clinic/Center | 201 S Harbor Blvd, La Habra, CA 90631-5654 | 2016-09-19 |
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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.