NPIMap

Organization Active NPI

Bienvenidos Children'S Center, Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1124153820
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A63662 Issued in CA
Legal business name
BIENVENIDOS CHILDREN'S CENTER, INC
Practice address
316 W 2ND St
Suite 800
Los Angeles, CA 90012-3504
Phone
(213) 785-5906
Fax
(213) 785-5914
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Jacobus Van Der Colff
Title
Chief Financial Officer
Phone
(213) 785-5923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A63662 CA Primary

Addresses

Primary practice location

316 W 2ND St
Suite 800
Los Angeles, CA 90012-3504

Mailing address

316 W. 2ND Street
Suite 800
Los Angeles, CA 90012
Phone (213) 785-5922

Other identifiers 2

IdentifierTypeStateIssuer
CMM70881FMedicaidCA
EAP70881FMedicaidCA

Other names 1

  • Bienvenidos Community Health Center Other name

National Provider Directory

National Provider Directory

Locations

316 W 2nd St
Ste 800
Los Angeles, CA 90012
Phone (213) 785-5906

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1124153820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W. 2ND STREET",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-785-5922",
            "fax_number": "213-785-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123504",
            "telephone_number": "213-785-5906",
            "fax_number": "213-785-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVENIDOS CHILDREN'S CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "VAN DER COLFF",
        "authorized_official_first_name": "JACOBUS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "213-785-5923"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A63662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70881F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70881F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bienvenidos Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 7, 2013; 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.