NPIMap

Organization Active NPI

The Childrens Clinic 'Serving Children and Their Families'

  • Community Health Clinic/Center
  • Bellflower, CA
National Provider Identifier
1447556170
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Practice address
17660 Lakewood Blvd
Bellflower, CA 90706-6410
Phone
(562) 264-4827
Fax
(562) 804-0862
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Jina L. Lawler, MSW
Title
Chief Operations Officer
Phone
(562) 264-3985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

17660 Lakewood Blvd
Bellflower, CA 90706-6410

Mailing address

701 E 28TH St
Suite 200
Long Beach, CA 90806-2759
Phone (562) 264-3985

Other names 1

  • The Children's Clinic Family Health Center in Bellflower Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000362 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870544919 Practice locations: Bellflower, CA

Federally qualified health center certification: CCN 551138

Legal name
THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES
Doing business as
THE CHILDREN'S CLINIC FAMILY HEALTH CENTER IN BELLFLOWER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 27, 2012
Last certification
Mar 27, 2012
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 16, 1939 in CA
Enrollment address
17660 Lakewood Blvd
Bellflower, CA 90706-6410

Other NPIs with the same Medicare PAC ID 10

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

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
05D0707688Children'S CLNC Family HLTH Ctr in Bellflower, the17660 Lakewood Boulevard, Bellflower, CA 90706Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Children'S Clinic Serving Children and Their Families17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Catalina Cruz Individual Corporate DirectorBoard Member Aug 1, 2008
Cynthia a. Begazo Individual Corporate OfficerChief Human Resources Officer Sep 28, 2015
Corporate DirectorChief Human Resources Officer Sep 28, 2015
Operational/Managerial ControlChief Human Resources Officer Sep 28, 2015
Phansy Peang Individual Corporate OfficerBoard Member Oct 1, 2004
Harold Milton Vandyke Individual Corporate DirectorBoard Member - President Oct 1, 2010
Andrew Horvath Individual Corporate OfficerChief Information Officer Sep 20, 2006
Corporate DirectorChief Information Officer Sep 20, 2006
Operational/Managerial ControlChief Information Officer Sep 20, 2006
Mynor Aguirre Individual Corporate DirectorBoard Member Oct 1, 2010
Maria Chandler Individual Corporate OfficerChief Medical Officer Jul 1, 1992
Corporate DirectorCmo Jul 1, 1992
W-2 Managing EmployeeChief Medical Officer Jul 1, 1992
Operational/Managerial ControlChief Medical Officer Jul 1, 1992
Jina Lawler Individual Corporate OfficerChief Operations Officer Jun 1, 2008
Corporate DirectorChief Operations Officer Jun 1, 2008
W-2 Managing EmployeeChief Operations Officer Jun 1, 2008
Operational/Managerial ControlChief Operations Officer Jun 1, 2008
Ffombe Ndiforchu Individual Corporate OfficerBoard Member Oct 1, 2010
Elisa Nicholas Individual Corporate OfficerChief Executive Officer Jul 1, 1988
Corporate DirectorCeo Jul 1, 1988
W-2 Managing EmployeeChief Executive Officer Jul 1, 1988
Operational/Managerial ControlChief Executive Officer Jul 1, 1988 100%

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1447556170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-264-3985",
            "fax_number": "562-216-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 LAKEWOOD BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066410",
            "telephone_number": "562-264-4827",
            "fax_number": "562-804-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "562-264-3985",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Clinic Family Health Center in Bellflower",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Children's Clinic Family Health Center in Bellflower",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.