Tender Care Community Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TENDER CARE COMMUNITY CLINIC, INC

Practice address

7862 Firestone Blvd
Downey, CA 90241

Phone

(562) 869-7007

Fax

(562) 869-2303

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Tom Santos

Title

Ceo

Phone

(562) 869-7007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 921812

Legal name

TENDER CARE COMMUNITY CLINIC, INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 23, 2019

Last certification

Dec 23, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 2, 2016 in CA

Enrollment address

7862 Firestone Blvd
Downey, CA 90241-4221

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADFIBD

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adelaida E Bustos, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1467510040
  Medicare reassignment Care Compare group NPD
• Jae Woo, NP

  • Family Nurse Practitioner
  • Brea, CA
  • NPI 1083193635
  Medicare reassignment Care Compare group NPD
• Jose L Martinez, PA-C

  • Surgical Physician Assistant
  • Fresno, CA
  • NPI 1679736904
  Medicare reassignment Care Compare group
• Leilani Fang Diego

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1417372426
  Medicare reassignment NPD
• Wilson Aoigan Morales, MD

  • Obstetrics & Gynecology Physician
  • Paramount, CA
  • NPI 1174632939
  Medicare reassignment NPD
• Ma Suzanne Morales, FNP-BC

  • Family Nurse Practitioner
  • Downey, CA
  • NPI 1821734120
  NPD (past)

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1134668304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-869-7007",
            "fax_number": "562-869-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-869-7007",
            "fax_number": "562-869-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER CARE COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-869-7007"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Taylor, MS, CCC-SLP
• Timothy Lee Taylor
• Mariela Tejeda
• Telecare Corporation (Telecare Citrus House)
• Jordon Templeton Harris
• Julianne Teng
• Joan Junio Tengan I, P.T.
• Betty Mayumi Teramoto, PHARM.D.
• Jessica-Ferdianne Teruel
• Yordanos Tesfailase

• Primary Care Clinic/Center in Downey, CA
• Providers in Downey, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.