NPIMap

Organization Active NPI

Esteban E. Torres High School Clinic

  • Student Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1386082766
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
960001182 Issued in CA
Legal business name
ESTEBAN E. TORRES HIGH SCHOOL CLINIC
Practice address
4127 East Cesar Chavez Avenue
Los Angeles, CA 90063
Phone
(323) 265-6701
NPI assigned
Jun 7, 2013
Organization subpart
Yes
Parent organization
BIENVENIDOS CHILDREN'S CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Jacobus Van Der Colff
Title
Chief Financial Officer
Phone
(213) 785-5923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 960001182 CA Primary

Addresses

Primary practice location

4127 East Cesar Chavez Avenue
Los Angeles, CA 90063

Mailing address

316 W 2ND St
Los Angeles, CA 90012-3504
Phone (213) 785-5922

Other names 1

  • Operated by Bienvenidos Community Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Bienvenidos Childrens Center19 organizations share this tax ID, including this one
Part of
Bienvenidos Childrens Center

Other organizations with this tax ID 18

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

View all 18

Locations

316 W 2nd St
Los Angeles, CA 90012

4127 E Cesar E Chavez Ave
Los Angeles, CA 90063
Phone (323) 265-6701

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1386082766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 2ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123504",
            "telephone_number": "213-785-5922",
            "fax_number": "213-785-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 EAST CESAR CHAVEZ AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90063",
            "telephone_number": "323-265-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEBAN E. TORRES HIGH SCHOOL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIENVENIDOS CHILDREN'S CENTER, INC.",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "VAN DER COLFF",
        "authorized_official_first_name": "JACOBUS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "213-785-5923"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "960001182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Operated by Bienvenidos Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2013; 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.