NPIMap

Organization Active NPI

JWCH Institute, Inc.

Doing business as Bell Gardens Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bell Gardens, CA
National Provider Identifier
1144403312
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550000019 Issued in CA
Legal business name
JWCH INSTITUTE, INC.
Doing business as
Bell Gardens Community Health Center
Practice address
6912 Ajax Ave
Bell Gardens, CA 90201-4057
Phone
(323) 562-5813
Fax
(323) 326-1146
NPI assigned
Dec 11, 2007
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JWCH INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Alvaro P. Ballesteros
Title
Chief Executive Officer
Phone
(323) 201-4516

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550000019 CA Primary
Case Manager/Care Coordinator 171M00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

6912 Ajax Ave
Bell Gardens, CA 90201-4057

Mailing address

5650 Jillson St
Commerce, CA 90040-1482
Phone (323) 201-4516

Other names 1

  • Bell Gardens Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000811 CA Part A Provider - Federally Qualified Health Center (FQHC) 1850394123 1 other NPI on this enrollment
Practice locations: Bell Gardens, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144403312. Details of each certification follow.

Federally qualified health center certification: CCN 051067

Legal name
JWCH INSTITUTE INC
Doing business as
BELL GARDENS COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2006
Last certification
Dec 14, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 4, 1960 in CA
Enrollment address
6912 Ajax Ave
Bell Gardens, CA 90201-4057

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wesley Health Centers - Midnight Mission69 organizations share this tax ID, including this one
Part of
Wesley Health Centers - Midnight Mission

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Thomas Grode Individual Corporate DirectorBoard Member Jan 26, 2016
Joseph Castel Individual Corporate DirectorBoard Member - Secretary Jul 13, 2004
Andy Irie Individual Corporate OfficerChief Administrative Officer Jan 1, 2010
Paul Gerald Gregerson Individual Corporate OfficerChief Medical Officer Jan 1, 2001
Jeanne Lam Individual Corporate OfficerChief Financial Officer Jul 1, 2005
Eduardo Saucedo Individual Corporate DirectorBoard Member Jul 26, 2016
Alvaro P Ballesteros Individual Corporate OfficerChief Executive Officer Oct 1, 2003
Annette Sullivan Individual Corporate DirectorBoard Member Feb 23, 2021
Herbert Torrence Individual Corporate DirectorBoard Member Feb 28, 2017
Guadalupe Castillo Individual Operational/Managerial ControlClinic Administrator Oct 8, 2008
Kathleen House Individual Corporate DirectorBoard Member - Vice Chair Nov 22, 2011
Silvia Hernandez Individual Corporate DirectorBoard Member Sep 23, 2014
Lawrence Fernandez Individual Corporate DirectorBoard Member Jun 25, 2002
Maria a Padron Individual Corporate DirectorBoard Member Feb 14, 2007
Sheila Eaton Individual Corporate DirectorBoard Member Sep 24, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
JWCH Medical Clinic @ Bell ShelterBell, CA, CCN 751883 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2015
Wesley Health Centers - Palmdale CentralPalmdale, CA, CCN 921169 Federally qualified health center Operational/Managerial Control (100%) Apr 15, 2019

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1144403312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "323-201-4516",
            "fax_number": "323-215-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 AJAX AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014057",
            "telephone_number": "323-562-5813",
            "fax_number": "323-326-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWCH INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JWCH INSTITUTE, INC.",
        "enumeration_date": "2007-12-11",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-201-4516"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000019",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Gardens Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bell Gardens Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.