Central Neighborhood Health Foundation

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Practice address

2614 S Grand Ave
Los Angeles, CA 90007-2607

Phone

(323) 234-5000

Fax

(323) 234-3900

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Nusrath Fatima Jahangir

Title

Coo

Phone

(323) 234-5000

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 751840

Legal name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 16, 2016

Last certification

Mar 16, 2016

Ownership / control type

For profit – corporation

Facility address

2614 S Grand Avenue
Los Angeles, CA 90007

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Neighborhood Health Foundation

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1639336803

  Member Of

  NPD member

Locations

Practitioners 3

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

• Vinay Krupadev

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1730684408
  NPD (past)
• Abiola Orkeh

  • Family Nurse Practitioner
  • Hawthorne, CA
  • NPI 1376056630
  NPD (past)
• Ozioma Chiebuka Nwosu, MSN FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1457726135
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1487086989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 S. GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "323-234-5000",
            "fax_number": "323-234-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072607",
            "telephone_number": "323-234-5000",
            "fax_number": "323-234-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "JAHANGIR",
        "authorized_official_first_name": "NUSRATH",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "323-234-5000"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639336803",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Community Pharmacy, Inc.
• Central Medical Clinic Inc
• Central Metro Clinic, Inc
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation - Fontana
• Central Neighborhood Medical Group, Inc.
• Central Neighborhood Medical Group, Inc.
• Central Nurses Directory, Inc.

• Community Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.