NPIMap

Organization Active NPI

Chinatown Service Center

  • Case Manager/Care Coordinator
  • San Gabriel, CA
National Provider Identifier
1306373964
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CHINATOWN SERVICE CENTER
Practice address
559 W Las Tunas Dr
San Gabriel, CA 91776-1134
Phone
(626) 457-9618
Fax
(213) 680-9427
NPI assigned
May 15, 2017
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Jack Cheng, JD, CHC, CHPC
Title
Chief Operating Officer
Phone
(213) 808-1709

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 960000220 CA
Primary Care Clinic/Center 261QP2300X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

559 W Las Tunas Dr
San Gabriel, CA 91776-1134

Mailing address

767 N Hill St Ste 400
Los Angeles, CA 90012-2381

National Provider Directory

National Provider Directory
Tax ID family
CSC Pace12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

767 N Hill St
Ste 400
Los Angeles, CA 90012
Phone (213) 808-1700

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1306373964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W LAS TUNAS DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761134",
            "telephone_number": "626-457-9618",
            "fax_number": "213-680-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "213-808-1709",
        "authorized_official_credential": "JD, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "960000220",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.