NPIMap

Organization Active NPI

South Central Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
National Provider Identifier
1487218970
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTH CENTRAL FAMILY HEALTH CENTER
Practice address
7300 Santa Fe Ave
Huntington Park, CA 90255-5731
Phone
(323) 908-4200
Fax
(323) 908-4256
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Richard A Veloz, JD, MPH
Title
Ceo
Phone
(323) 908-4247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

7300 Santa Fe Ave
Huntington Park, CA 90255-5731

Mailing address

4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200

Other names 1

  • SCFHC - Santa Fe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210813002664 CA Part A Provider - Federally Qualified Health Center (FQHC) 5597675041 Practice locations: Huntington Park, CA
O20240621003215 CA Part B Supplier - Clinic/Group Practice 5597675041 Receives reassigned benefits from 35 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntington Park, CA; Cudahy, CA; Montebello, CA; Los Angeles, CA

Federally qualified health center certification: CCN A01004

Legal name
SOUTH CENTRAL FAMILY HEALTH CENTER
Doing business as
SCFHC - SANTA FE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 13, 2021
Last certification
Aug 13, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 15, 1983 in CA
Enrollment address
7300 Santa Fe Ave
Huntington Park, CA 90255-5731

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D2187520South Central Family Health Center7300 Santa Fe Avenue, Huntington Park, CA 90255Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory

Locations

7300 Santa Fe Ave
Huntington Pk, CA 90255
Phone (323) 277-8900

1028 E Vernon Ave
Los Angeles, CA 90011
Phone (213) 231-5174

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Elmer G Roldan Individual Corporate DirectorBoard Member Jun 29, 2016
Victoria Hardy Individual Corporate DirectorTreasurer Apr 20, 2018
Ian Wright Individual Corporate DirectorSecretary Sep 17, 2019
Jose L Perez Individual Corporate OfficerChief Medical Officer Mar 16, 2017
Richard a Veloz Individual Corporate OfficerChief Executive Officer Jul 8, 2002
W-2 Managing EmployeeChief Executive Officer Jul 8, 2002
Adrian Devargas Individual Corporate DirectorBoard Vice-Chair Oct 13, 2016
Davis G Montalvan Individual Corporate DirectorBoard Member Mar 19, 2019
Genevieve Filmardirossian Individual Corporate OfficerChief Operations Officer Oct 16, 2006
Paul Ramos Individual Corporate OfficerChief Financial Officer Aug 6, 2002
W-2 Managing EmployeeChief Financial Officer Aug 6, 2002
Janice R Brittain Individual Corporate DirectorBoard Member May 27, 2008
Fernando Almodovar Individual Corporate DirectorBoard Chair Apr 26, 2011
Tumani S Moore-Leatherwood Individual Corporate DirectorBoard Member Dec 16, 2008
Resa a Caivano Individual Corporate DirectorBoard Member Nov 7, 2018
Rosie Rios Individual Corporate DirectorBoard Member May 27, 2008
Amir a Johnson Individual Corporate DirectorBoard Member Nov 4, 2014

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Central Family Health Center-VernonLos Angeles, CA, CCN 921013 Federally qualified health center Operational/Managerial Control Jul 31, 2012
Cudahy Family Health CenterCudahy, CA, CCN 921079 Federally qualified health center Operational/Managerial Control (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1487218970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113629",
            "telephone_number": "323-908-4200",
            "fax_number": "323-908-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANTA FE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555731",
            "telephone_number": "323-908-4200",
            "fax_number": "323-908-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "VELOZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-908-4247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCFHC - Santa Fe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.