County of Los Angeles
Organization Active NPI Primary Care Clinic/Center · Chatsworth, CA
NPI 1306334222 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1306334222
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- COUNTY OF LOS ANGELES
- Practice address
- 20151 Nordhoff St
Chatsworth, CA 91311-6215 - Phone
- (818) 407-3200
- NPI assigned
- Apr 26, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF LOS ANGELES
Authorized official
- Name
- Jennifer Chen
- Title
- Medical Director
- Phone
- (818) 637-3050
Other NPIs on the same Medicare enrollment 49
Corporate family (same tax ID) 24
Practitioners 2
-
Jack Szuwei Chen, MD
-
Priya Rajan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204001218 | CA | Part B Supplier - Clinic/Group Practice | 1850296534 |
Receives reassigned benefits from 1,953 practitioners 49 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Pacoima, CA; Monrovia, CA; North Hollywood, CA; Palmdale, CA; Pomona, CA; San Fernando, CA; Santa Monica, CA… |
National Provider Directory
- Tax ID family
- Usc Caruso Department Otolaryngology-Head and Neck Surgery
- Part of
- Usc Caruso Department Otolaryngology-Head and Neck Surgery
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | CA | Yes |
Addresses
Primary practice location
20151 Nordhoff St
Chatsworth, CA 91311-6215
Mailing address
5555 Ferguson Dr
Commerce, CA 90022-5164
Phone (323) 914-7365
Other names
- West Valley Health Center
Other providers in Chatsworth, CA
- Santiago Andres Cordova Luna
- Casey Corr
- Jerry C Corralejo Sr.
- Cheryl Costleigh
- County of Los Angeles
- Courtney Home Care Services Inc.
- Sharon Louise Covington
- Crossroads Institute
- Karen Dzierski Cruise
- Patricia Louise Crukins
All providers in Chatsworth, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.