NPIMap

Organization Active NPI

Health Access for All Inc

Doing business as Angeles Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Gardena, CA
National Provider Identifier
1417421850
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH ACCESS FOR ALL INC
Doing business as
Angeles Community Health Center
Practice address
1030 Gardena Blvd
Gardena, CA 90247-4956
Phone
(424) 222-8800
Fax
(424) 222-8999
NPI assigned
Jan 18, 2019
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mariana Canela
Title
Coo
Phone
(213) 413-4888

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

1030 Gardena Blvd
Gardena, CA 90247-4956

Mailing address

PO Box 57130
Los Angeles, CA 90057-0130
Phone (213) 413-2222

Other names 1

  • Angeles Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170719003904 CA Part B Supplier - Clinic/Group Practice 5294005534 Receives reassigned benefits from 20 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Maywood, CA; Los Angeles, CA; Huntington Park, CA; Gardena, CA; Bell, CA; Beverly Hills, CA
O20190725003287 CA Part A Provider - Federally Qualified Health Center (FQHC) 5294005534 Practice locations: Gardena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417421850. Details of each certification follow.

Federally qualified health center certification: CCN 921808

Legal name
HEALTH ACCESS FOR ALL INC
Doing business as
ANGELES COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 25, 2019
Last certification
Jul 25, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 30, 2013 in CA
Enrollment address
1030 W Gardena Blvd
Gardena, CA 90247-4956

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D2165536Health Access for All Inc1030 W Gardena Blvd, Gardena, CA 90247Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Olga G Rayo-Kirksey Individual Corporate OfficerBoard Member Sep 14, 2017
Karissa Tran Sharifian Individual Corporate DirectorBoard Member Jan 27, 2020
Michelle Elaine Henschel Individual Corporate DirectorBoard Member Dec 19, 2022
Arman Fakharian Individual Corporate DirectorBoard Member Mar 29, 2021
Freddie Faramarz Shahamfar Individual Corporate OfficerCfo Sep 14, 2017
W-2 Managing EmployeeCfo Sep 14, 2017
Health Access for All Inc Organization, Gardena, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 14, 2017 100%
Operational/Managerial Control Sep 14, 2017 100%
Peyman Banooni Individual Corporate OfficerCeo Sep 14, 2017 100%
Corporate DirectorCeo Sep 14, 2017
W-2 Managing EmployeeCeo Sep 14, 2017 100%
Operational/Managerial ControlCeo Sep 14, 2017
Brenda Olivares Individual Corporate DirectorBoard Member Jul 31, 2023
Thomas Fatemi Individual Corporate OfficerBoard Member Sep 14, 2017
Marah Studer Individual Corporate DirectorBoard Chair Sep 14, 2017
Ana J Lopez Individual Corporate OfficerBoard Member Sep 14, 2017
Tanya Victoria Chaldaris Individual Corporate OfficerBoard Member Sep 14, 2017
Jose M Diaz Individual Corporate OfficerCmo Sep 14, 2017
W-2 Managing EmployeeCmo Sep 14, 2017
Kambiz Zainabadi Individual Corporate DirectorBoard Member Aug 31, 2020

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Angeles Community Health CenterLos Angeles, CA, CCN 921080 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 9, 2017
Feb 9, 2017
Angeles Community Health CenterHuntington Park, CA, CCN 921089 Federally qualified health center Operational/Managerial Control (100%) Sep 14, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Health Access for All Inc

    dba Angeles Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Huntington Park, CA
    • NPI 1295288348

    Operational/Managerial Control

    CMS ownership
  • Health Access for All Inc

    dba Angeles Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Los Angeles, CA
    • NPI 1447703400

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1417421850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900570130",
            "telephone_number": "213-413-2222",
            "fax_number": "213-483-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474956",
            "telephone_number": "424-222-8800",
            "fax_number": "424-222-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ACCESS FOR ALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "CANELA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "213-413-4888"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angeles Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.