SOUTH CENTRAL FAMILY HEALTH CENTER (NPI# 1982063939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982063939 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL FAMILY HEALTH CENTER |
| Other Organization Name | CUDAHY FAMILY HEALTH CENTER |
| Practice Address |
7910 Atlantic Ave Ste M Cudahy CA 90201-5774 |
| Mailing Address |
4425 S Central Ave Los Angeles CA 90011-3629 |
| Practice Telephone | 3239084247 |
| Mailing Telephone | 3239084247 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2018-10-08 |
| 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 |
| 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 |
|---|---|
| Cudahy Family Health Center | Doing Business As Name - Organization |
| 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 |
| 1851847982 | South Central Family Health Center | Pharmacy | 1109 E Vernon Ave, Los Angeles, CA 90011-3718 | 2016-08-29 |
| 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 |
7910 ATLANTIC AVE STE M |
| City | CUDAHY |
| State | CA |
| Zip Code | 90201-5774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| 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 |
|---|---|---|---|---|
| 1356897243 | Wellness Center At Elizabeth Learning Center | Clinic/Center | 4811 Elizabeth St, Cudahy, CA 90201-5205 | 2016-08-30 |
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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.