JWCH Institute, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

550000019 Issued in CA

Legal business name

JWCH INSTITUTE, INC.

Practice address

6912 Ajax Ave
Bell Gardens, CA 90201-4057

Phone

(323) 562-5813

Fax

(323) 326-1146

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alvaro P. Ballesteros

Title

Chief Executive Officer

Phone

(323) 201-4516

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bell Gardens Community Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Federally qualified health center certification: CCN 051067

Legal name

JWCH INSTITUTE INC

Doing business as

BELL GARDENS COMMUNITY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 14, 2006

Last certification

Dec 14, 2006

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 4, 1960 in CA

Enrollment address

6912 Ajax Ave
Bell Gardens, CA 90201-4057

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JWCH Institute, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bell Gardens, CA
  • NPI 1144403312

  O20061025000811

  Same enrollment

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Paul Gregerson, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1417022336

  Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1295829109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "323-201-4516",
            "fax_number": "323-215-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 AJAX AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014057",
            "telephone_number": "323-562-5813",
            "fax_number": "323-326-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWCH INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-201-4516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71083F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Gardens Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bell Gardens Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josh Lagatta DDS Inc
• Elizabeth Juarez
• JWCH Institute Inc
• JWCH Institute, Inc
• JWCH Institute, Inc.
• JWCH Institute, Inc.
• Jyc Company, Inc
• Nilda Felisarta Kampitan, FNP
• Balpreet Kaur, PA
• Kaylin Kelly

• Federally Qualified Health Center (FQHC) in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.