Watts Healthcare Corporation

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WATTS HEALTHCARE CORPORATION

Doing business as

Watts Health Center

Practice address

10300 Compton Avenue
Los Angeles, CA 90002

Phone

(323) 357-6684

NPI assigned

Oct 4, 2006

Last updated

Jun 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olusheyi Lawoyin

Title

Coo

Phone

(323) 564-4331

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• WATTS HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1477649119. Details of each certification follow.

• CCN 551971 Federally qualified health center · Active · Details
• CCN 921007 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 551971

Legal name

WATTS HEALTHCARE CORPORATION

Doing business as

WATTS HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 14, 2004

Last certification

Jun 14, 2004

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Jan 24, 2002 in CA

Enrollment address

10300 Compton Ave
Los Angeles, CA 90002-3628

Federally qualified health center certification: CCN 921007

Legal name

WATTS HEALTHCARE CORPORATION

Doing business as

JEFFERSON CRENSHAW HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 18, 2017

Last certification

Sep 18, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 1, 2003 in CA

Enrollment address

3501 W Jefferson Blvd
Los Angeles, CA 90018-3237

Other NPIs with the same Medicare PAC ID 1

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

• Watts Healthcare Corporation

  dba Locke Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1104246362

  0446161533

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Watts Healthcare Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Watts Health Care Corporation, Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1861677650
  NPD tax ID
• Watts Healthcare Corporation

  dba Locke Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1104246362
  NPD tax ID
• Watts Healthcare Corporation

  dba Jordan Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1376681486
  NPD tax ID
• Watts Healthcare Corporation

  dba The House of Uhuru

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1962733022
  NPD tax ID

All disclosed owners & managing parties 9

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.

• Oliver Tate Brooks, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1013013150

  Corporate Officer

  CMS ownership

Practitioners 3

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.

• Dawn Deneeze Bernard, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1376648956
  NPD (past)
• Joel Piety Byrd, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1548366602
  NPD (past)
• Maggie McDonald

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1417494675
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1477649119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023628",
            "telephone_number": "323-357-6684",
            "fax_number": "323-563-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 COMPTON AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90002",
            "telephone_number": "323-357-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900183237",
            "country_code": "US",
            "telephone_number": "323-564-4331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3756 Santa Rosalia Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900083614",
            "country_code": "US",
            "telephone_number": "323-564-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATTS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LAWOYIN",
        "authorized_official_first_name": "OLUSHEYI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "323-564-4331"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70874G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70422G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP70874G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC12124G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70874G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP12124G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP12124G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70422G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP12124G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W16988A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATTS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WATTS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Watts Clinic Pharmacy
• Watts Health Care Corporation, Inc
• Watts Healthcare Corporation (Locke Wellness Center)
• Watts Healthcare Corporation (Crenshaw Community Health Center)
• Watts Healthcare Corporation (Jordan Wellness Center)
• Watts Healthcare Corporation (The House of Uhuru)
• Watts World Revival
• Ashley Watts
• Carly Ellen Watts, CRNA
• Chanda Watts, R1527980923

• 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 Jun 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.