NPIMap

Organization Active NPI

Chinatown Service Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1427046754
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
960000220 Issued in CA
Legal business name
CHINATOWN SERVICE CENTER
Practice address
767 N Hill St Ste 200
Los Angeles, CA 90012-2365
Phone
(213) 808-1792
Fax
(213) 680-9427
NPI assigned
Oct 11, 2005
Last updated
Mar 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Authorized official

Name
Jack Cheng, JD, CHC, CHPC
Title
Chief Operating Officer
Phone
(213) 818-1709

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 960000220 CA Primary
Primary Care Clinic/Center 261QP2300X 960000220 CA
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

767 N Hill St Ste 200
Los Angeles, CA 90012-2365

Mailing address

767 N Hill St Ste 400
Los Angeles, CA 90012-2381
Phone (213) 818-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000907 CA Part A Provider - Federally Qualified Health Center (FQHC) 7911086053 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427046754. Details of each certification follow.

Federally qualified health center certification: CCN 051135

Legal name
CHINATOWN SERVICE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2008
Last certification
Jun 26, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1975 in CA
Enrollment address
767 N Hill St
Ste 400B
Los Angeles, CA 90012-2381

National Provider Directory

National Provider Directory

Locations

320 S Garfield Ave
Ste 202
Alhambra, CA 91801
Phone (626) 321-1664

726 E Main St
Unit B
Alhambra, CA 91801
Phone (626) 773-3388

767 N Hill St
Los Angeles, CA 90012
Phone (213) 808-1700

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Roy Jasso Individual Corporate Director Mar 25, 2008
Henry Kwong Individual Corporate Director Jan 1, 2008
Gloria Tang Individual Corporate Director Mar 25, 2008
Peter NG Individual Corporate OfficerCeo Oct 1, 2013
Operational/Managerial ControlCeo Oct 1, 2013
Teodoro Ramirez Alarcon Individual Corporate Director Mar 25, 2008

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1427046754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122381",
            "telephone_number": "213-818-1718",
            "fax_number": "213-680-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122365",
            "telephone_number": "213-808-1792",
            "fax_number": "213-680-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "213-818-1709",
        "authorized_official_credential": "JD, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "960000220",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "960000220",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.