Pediatric and Family Medical Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

PEDIATRIC AND FAMILY MEDICAL CENTER

Practice address

1400 S Grand Ave
Los Angeles, CA 90015-3048

Phone

(213) 746-1037

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Monica McCarthy

Title

Sr VP, Coo & Interim-Ceo

Phone

(213) 746-1037

Specialties & licenses 2

Addresses

Other names 1

• EISNER PEDIATRIC AND FAMILY MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Federally qualified health center certification: CCN 751070

Legal name

PEDIATRIC AND FAMILY MEDICAL CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 22, 2014

Last certification

May 22, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 1, 1920 in CA

Enrollment address

1400 S Grand Ave
Ste 101
Los Angeles, CA 90015-3048

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1316044522

  1557301678

  Same PAC ID
• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Lynwood, CA
  • NPI 1407268709

  1557301678

  Same PAC ID
• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1720468804

  1557301678

  Same PAC ID
• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Sherman Oaks, CA
  • NPI 1982075107

  1557301678

  Same PAC ID

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kevin J. Rossi, MD

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1720159767

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1386934875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153023",
            "telephone_number": "213-746-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-746-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 W Olympic Blvd Rm 40",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900191831",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900111036",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC AND FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "SR VP, COO & INTERIM-CEO",
        "authorized_official_telephone_number": "213-746-1037"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EISNER PEDIATRIC AND FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EISNER PEDIATRIC AND FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie A Pederson
• Paola Pederzoli-Carrillo, NP
• Pediatric and Family Medical Center
• Pediatric and Family Medical Center
• Pediatric and Family Medical Center
• Pediatric and Family Medical Center
• Pediatric and Family Medical Center
• Pediatric Care Pharmacy Inc
• Pediatric Gems, P.C.
• Pediatric Ophthalmology and Strabismus Specialists

• Federally Qualified Health Center (FQHC) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.