NPIMap

Organization Active NPI

Student Health Center la Harbor College

  • Health Service Clinic/Center
  • Wilmington, CA
National Provider Identifier
1376960971
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
461288 Issued in CA
Legal business name
STUDENT HEALTH CENTER LA HARBOR COLLEGE
Practice address
1111 Figueroa PL
Cafe 110
Wilmington, CA 90744-2311
Phone
(310) 233-4520
Fax
(310) 233-4055
NPI assigned
Mar 21, 2014
Organization subpart
Yes
Parent organization
LOS ANGELES HARBOR COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Mrs. Carole King Stevenson, NP
Title
Director Health Center
Phone
(310) 233-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 461288 CA Primary

Addresses

Primary practice location

1111 Figueroa PL
Cafe 110
Wilmington, CA 90744-2311

Mailing address

1111 Figueroa PL
Cafe 110
Wilmington, CA 90744-2311
Phone (310) 233-4520

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2029347Student Health Center1111 Figueroa Place-Cafe 110, Wilmington, CA 90744Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one
Part of
Los Angeles Pierce College

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1111 Figueroa Pl
#110
Wilmington, CA 90744
Phone (310) 233-4520

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1376960971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 FIGUEROA PL",
            "address_2": "CAFE 110",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442311",
            "telephone_number": "310-233-4520",
            "fax_number": "310-233-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 FIGUEROA PL",
            "address_2": "CAFE 110",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442311",
            "telephone_number": "310-233-4520",
            "fax_number": "310-233-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH CENTER LA HARBOR COLLEGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES HARBOR COLLEGE",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "DIRECTOR HEALTH CENTER",
        "authorized_official_telephone_number": "310-233-4520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "461288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.