South Bay Family Healthcare Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SOUTH BAY FAMILY HEALTHCARE CENTER

Practice address

2114 Artesia Blvd
Redondo Beach, CA 90278-3014

Phone

(310) 318-2521

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Jann Hamilton-Lee

Title

President/Ceo

Phone

(310) 802-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Bay Family Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• South Bay Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Torrance, CA
  • NPI 1730595505
  NPD tax ID

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1083962005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 ARTESIA BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783014",
            "telephone_number": "310-318-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY FAMILY HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "HAMILTON-LEE",
        "authorized_official_first_name": "JANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-802-6177"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70843F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Soria, OTR/L
• Zachary Soufl, DC
• South Bay Birth
• South Bay Birth
• South Bay Children'S Health Center
• South Bay Family Healthcare Center
• South Bay Nurse Anesthesia Services
• South Bay Podiatry Office Inc
• South Bay Regenerative Medical Spa Inc
• Anna Southam, PT

• Federally Qualified Health Center (FQHC) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.