Organization Active NPI

Black Women for Wellness

  • Community Health Worker
  • Los Angeles, CA
National Provider Identifier
1467796474
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
BLACK WOMEN FOR WELLNESS
Practice address
4340 11TH Ave
Los Angeles, CA 90008-5205
Phone
(323) 290-5955
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ms. Janette Robinson Flint
Title
Executive Director
Phone
(323) 290-5955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X CA Primary
Voluntary or Charitable Agency 251V00000X CA

Addresses

Primary practice location

4340 11TH Ave
Los Angeles, CA 90008-5205

Mailing address

PO Box 292516
Los Angeles, CA 90029-7516
Phone (323) 290-5955

National Provider Directory

National Provider Directory

Locations

4340 11th Ave
Los Angeles, CA 90008
Phone (323) 290-5955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1467796474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900297516",
            "telephone_number": "323-290-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 11TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085205",
            "telephone_number": "323-290-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK WOMEN FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON FLINT",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-290-5955",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.