Active NPI
AIDS Healthcare Foundation
- Infectious Disease Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 4100 N Main St Ste 102
Columbia, SC 29203-5800 - Phone
- (803) 223-9895
- Fax
- (803) 735-3641
- NPI assigned
- Oct 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyle Honig Mojica
- Title
- Cfo
- Phone
- (323) 860-5305
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
4100 N Main St Ste 102
Columbia, SC 29203-5800
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180605000845 | SC | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Columbia, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1477021541
O20180605000845
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2143416 | AIDS Healthcare Foundation-Columbia HCC | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- AIDS Health Foundation
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Specialty Pharmacy
- Columbia, SC
- NPI 1316374507
Locations
2141 K St NW
Ste 707
Washington, DC 20037
Phone (202) 293-5382
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Columbia, SC
- NPI 1730924952
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1184690174
-
- Family Medicine Physician
- Columbia, SC
- NPI 1205806718
-
- Psychiatry Physician
- Columbia, SC
- NPI 1831220011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1265784912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 N MAIN ST STE 102",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292035800",
"telephone_number": "803-223-9895",
"fax_number": "803-735-3641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "HONIG MOJICA",
"authorized_official_first_name": "LYLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "323-860-5305"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.