Curtiscare Developmental Pediatric Community Health Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CURTISCARE DEVELOPMENTAL PEDIATRIC COMMUNITY HEALTH CLINIC

Doing business as

CurtisCARE Pediatric Community Health Clinic

Practice address

6709 La Tijera Blvd # 804
Los Angeles, CA 90045-2017

Phone

(310) 629-5929

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Curtis Jenkins

Title

Administrator

Phone

(310) 629-5929

Specialties & licenses 1

Addresses

Other names 1

• CurtisCARE Pediatric Community Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1356768584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 CHICO ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463603",
            "telephone_number": "310-629-5929",
            "fax_number": "310-337-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 LA TIJERA BLVD # 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452017",
            "telephone_number": "310-629-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTISCARE DEVELOPMENTAL PEDIATRIC COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-629-5929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CurtisCARE Pediatric Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Curtis
• Mimi Joy Curtis, PHD
• Stacey Lynn Curtis, MS, CCC-SLP
• Teresa Lynn Curtis, LMFT
• Thomas Dean Curtis, DPM
• Khristie June Cury, LCPC
• Anna Cushing, MD
• Timothy Cushing, MD
• Lucas Allen Cushman
• Adam Custer, MD

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.