NPIMap

Organization Active NPI

Andromeda Transcultural Health

  • Community Health Clinic/Center
  • Washington, DC
National Provider Identifier
1235525692
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
PH100000948 Issued in DC
Legal business name
ANDROMEDA TRANSCULTURAL HEALTH
Practice address
1400 Decatur St NW
Washington, DC 20011-4343
Phone
(202) 291-4707
Fax
(202) 723-4560
NPI assigned
Apr 13, 2015
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Dr. Alvaro Guzman, MDNPI 1568524668
Title
Interim Executive Director
Phone
(202) 291-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community Health Clinic/Center 261QC1500X PH100000948 DC Primary
Community Health Clinic/Center 261QC1500X 0202209782 VA

Addresses

Primary practice location

1400 Decatur St NW
Washington, DC 20011-4343

Mailing address

1400 Decatur St NW
Washington, DC 20011-4343
Phone (202) 291-4707

Other identifiers 1

IdentifierTypeStateIssuer
1568634590MedicaidDC

Other names 1

  • Andromeda Transcultural Health Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Andromeda Hispano MNTL HLTH Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Andromeda Inc

    dba Andromeda Transcultural Health

    • Addiction (Substance Use Disorder) Counselor
    • Washington, DC
    • NPI 1093159816
    NPD tax ID

Locations

1400 Decatur St NW
Washington, DC 20011
Phone (202) 291-4707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16783/brand/1/csg/1/fhir/r4

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1235525692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 DECATUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114343",
            "telephone_number": "202-291-4707",
            "fax_number": "202-723-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DECATUR ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114343",
            "telephone_number": "202-291-4707",
            "fax_number": "202-723-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROMEDA TRANSCULTURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-291-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "DC",
            "license": "PH100000948",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "VA",
            "license": "0202209782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568634590",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andromeda Transcultural Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.