NPIMap

Organization Active NPI

South Central Family Health Center

Doing business as Wellness Center at Elizabeth Learning Center

  • Federally Qualified Health Center (FQHC)
  • Cudahy, CA
National Provider Identifier
1356897243
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH CENTRAL FAMILY HEALTH CENTER
Doing business as
Wellness Center at Elizabeth Learning Center
Practice address
4811 Elizabeth St
Cudahy, CA 90201-5205
Phone
(323) 908-4200
Fax
(323) 908-4256
NPI assigned
Aug 30, 2016
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL FAMILY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Richard Veloz
Title
Chief Executive Officer
Phone
(323) 908-4247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

4811 Elizabeth St
Cudahy, CA 90201-5205

Mailing address

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4247

Other names 1

  • Wellness Center at Elizabeth Learning Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Central Family Health Center8 organizations share this tax ID, including this one
Part of
South Central Family Health Center

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1356897243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113629",
            "telephone_number": "323-908-4247",
            "fax_number": "323-908-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 ELIZABETH ST",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902015205",
            "telephone_number": "323-908-4200",
            "fax_number": "323-908-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL FAMILY HEALTH CENTER",
        "enumeration_date": "2016-08-30",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "VELOZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-908-4247"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Center at Elizabeth Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cudahy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.