NPIMap

Organization Active NPI

Via Care Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Montebello, CA
National Provider Identifier
1154941458
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VIA CARE COMMUNITY HEALTH CENTER
Practice address
3420 W Beverly Blvd
Montebello, CA 90640-1539
Phone
(323) 268-9191
Fax
(323) 268-9119
NPI assigned
Apr 16, 2020
Organization subpart
Yes
Parent organization
VIA CARE COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Vanessa Fuentes
Title
Director of Revenue Cycle Managemen
Phone
(323) 268-9191

Specialties & licenses 1

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

Addresses

Primary practice location

3420 W Beverly Blvd
Montebello, CA 90640-1539

Mailing address

3601 E 1St St
Los Angeles, CA 90063-2325
Phone (323) 268-9191

Other identifiers 1

IdentifierTypeStateIssuer
FQHCMedicaidCA

Other names 1

  • Via Care Community Health Center-Beverly Other name

National Provider Directory

National Provider Directory
Tax ID family
Via Care Community Health Center-Elac Student Health Center25 organizations share this tax ID, including this one
Part of
Via Care Community Health Center-Elac Student Health Center

Other organizations with this tax ID 24

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

View all 24

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1154941458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632325",
            "telephone_number": "323-268-9191",
            "fax_number": "323-268-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-268-9191",
            "fax_number": "323-268-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CARE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIA CARE COMMUNITY HEALTH CENTER",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "323-268-9191"
    },
    "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": "FQHC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Care Community Health Center-Beverly",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.