Pine House Villa

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PINE HOUSE VILLA

Practice address

1218 E Pine St
Compton, CA 90221-1174

Phone

(562) 225-5498

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Sydney Presley

Title

Administrator

Phone

(562) 225-5498

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1386472447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E PINE ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E PINE ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211174",
            "telephone_number": "562-225-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HOUSE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-225-5498"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ancil K. Philip, MD
• Narin Phuong, PHYSICIAN ASSISTANT
• Joshua Veloso Pilapil, M.S.
• Heather Pilcher
• Sergio Antonio Pinales III
• Rene Maurice Poindexter
• Jessica R Polk, LCSW
• Solange Pollack, IMF
• Luis Alberto Ponce
• Noemy Ponce, MSW

• Community Health Clinic/Center in Compton, CA
• Providers in Compton, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.