NPIMap

Organization Active NPI

County of Los Angeles Auditor Controller

Doing business as Lake Los Angeles Community Clinic

  • Clinic/Center
  • Palmdale, CA
National Provider Identifier
1164551230
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Doing business as
Lake Los Angeles Community Clinic
Practice address
16921 E Avenue O Ste G
Palmdale, CA 93591-3045
Phone
(661) 945-8444
NPI assigned
Mar 5, 2007
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Ms. Beryl Brooks
Title
Clinic Administrator
Phone
(661) 471-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16921 E Avenue O Ste G
Palmdale, CA 93591-3045

Mailing address

16921 E Avenue O Ste G
Palmdale, CA 93591-3045
Phone (661) 945-8444

Other names 1

  • Lake Los Angeles Community Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rancho Los Amigos Liver613 organizations share this tax ID, including this one
Part of
Rancho Los Amigos Liver

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1164551230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 E AVENUE O STE G",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935913045",
            "telephone_number": "661-945-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 E AVENUE O STE G",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935913045",
            "telephone_number": "661-945-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES AUDITOR CONTROLLER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES AUDITOR CONTROLLER",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BERYL",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "661-471-4200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Los Angeles Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.