Organization Active NPI

Queenscare Health Alliance

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1215293733
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
QUEENSCARE HEALTH ALLIANCE
Practice address
680 Little St
Los Angeles, CA 90017-1644
Phone
(237) 151-5273
NPI assigned
Apr 10, 2012
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEENSCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Barbara B. Hines
Title
President & Ceo
Phone
(323) 669-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

680 Little St
Los Angeles, CA 90017-1644

Mailing address

950 S Grand Ave FL 2
Los Angeles, CA 90015-3999
Phone (323) 669-4346

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Presby Hosp Phcy4 organizations share this tax ID, including this one
Part of
Hollywood Presby Hosp Phcy

Other organizations with this tax ID 3

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

Locations

1300 N Vermont Ave
Ste 1002
Los Angeles, CA 90027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1215293733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S GRAND AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153999",
            "telephone_number": "323-669-4346",
            "fax_number": "323-953-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LITTLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171644",
            "telephone_number": "237-151-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSCARE HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEENSCARE",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-669-4302"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.