Organization Active NPI

Elizabeth J. Covington MD, Inc

Doing business as Center4 Health Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346350386
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40179 Issued in CA
Legal business name
ELIZABETH J. COVINGTON MD, INC
Doing business as
Center4 Health Medical Group
Practice address
3762 Santa Rosalia Dr Ste C30
Los Angeles, CA 90008-3612
Phone
(323) 290-2107
Fax
(323) 290-0632
NPI assigned
Aug 30, 2006
Organization subpart
Yes
Parent organization
ELIZABETH J. COVINGTON MD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Dr. Elizabeth Jean Covington, M.D.,INC.NPI 1447270988
Title
Physician
Phone
(323) 290-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X G40179 CA Primary

Addresses

Primary practice location

3762 Santa Rosalia Dr Ste C30
Los Angeles, CA 90008-3612

Mailing address

3762 Santa Rosalia Dr Ste C30
Los Angeles, CA 90008-3612
Phone (323) 290-2107

Other names 1

  • Center4 Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000261 CA Part B Supplier - Clinic/Group Practice 6901071620 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Part of
Elizabeth J Covington MD Inc

Locations

3762 Santa Rosalia Dr
Los Angeles, CA 90008
Phone (323) 250-3447

3701 Stocker St
Ste 101
View Park, CA 90008
Phone (310) 910-7221

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1346350386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 SANTA ROSALIA DR STE C30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083612",
            "telephone_number": "323-290-2107",
            "fax_number": "323-290-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 SANTA ROSALIA DR STE C30",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083612",
            "telephone_number": "323-290-2107",
            "fax_number": "323-290-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J. COVINGTON MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIZABETH J. COVINGTON MD, INC",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-290-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,INC."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G40179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center4 Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.