NPIMap

Organization Active NPI

Queenscare Health Alliance

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1053677401
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUEENSCARE HEALTH ALLIANCE
Practice address
680 Little St
Los Angeles, CA 90017-1644
Phone
(323) 715-1527
NPI assigned
Apr 10, 2012
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara B. Hines
Title
Ceo
Phone
(323) 669-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

680 Little St
Los Angeles, CA 90017-1644

Mailing address

950 South Grand Ave., 2ND Floor South
Los Angeles, CA 90015
Phone (213) 705-3906

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Presb Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1053677401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SOUTH GRAND AVE., 2ND FLOOR SOUTH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-705-3906",
            "fax_number": "213-705-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LITTLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171644",
            "telephone_number": "323-715-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSCARE HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-669-4302"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.