NPIMap

Organization Active NPI

Chinatown Service Center

  • Federally Qualified Health Center (FQHC)
  • Monterey Park, CA
National Provider Identifier
1134830862
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHINATOWN SERVICE CENTER
Practice address
855 S Atlantic Blvd
Monterey Park, CA 91754-4735
Phone
(626) 988-8087
Fax
(626) 773-3389
NPI assigned
Dec 13, 2022
Organization subpart
Yes
Parent organization
CHINATOWN SERVICE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Peter K NG
Title
Ceo
Phone
(213) 808-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

855 S Atlantic Blvd
Monterey Park, CA 91754-4735

Mailing address

767 N Hill St Ste 400
Los Angeles, CA 90012-2381

Other names 1

  • CSC Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297207CSC Health855 S Atlantic Blvd, Monterey Park, CA 91754Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Chinatown Service Center12 organizations share this tax ID, including this one
Part of
Chinatown Service Center

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1134830862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544735",
            "telephone_number": "626-988-8087",
            "fax_number": "626-773-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN SERVICE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHINATOWN SERVICE CENTER",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-808-1701"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSC Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.