NPIMap

Organization Active NPI

Los Angeles Christian Health Centers

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1497008528
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
960000972 Issued in CA
Legal business name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Practice address
601 S San Pedro Street
Los Angeles, CA 90014-2415
Phone
(213) 624-9258
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Bettina Lewis
Title
Coo
Phone
(213) 893-1960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 960000972 CA Primary

Addresses

Primary practice location

601 S San Pedro Street
Los Angeles, CA 90014-2415

Mailing address

453 S Spring St
Los Angeles, CA 90013-2013
Phone (213) 893-1960

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Christian Health Centers14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

453 S Spring St
Los Angeles, CA 90013
Phone (213) 787-4885

311 Winston St
Los Angeles, CA 90013

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": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1497008528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S SPRING ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132013",
            "telephone_number": "213-893-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SAN PEDRO STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900142415",
            "telephone_number": "213-624-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CHRISTIAN HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "213-893-1960"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "960000972",
            "primary": true
        }
    ],
    "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 May 7, 2021; 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.