NPIMap

Organization Active NPI

Village Health Foundation, Inc.

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1497897367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
AC6736 Issued in CA
Legal business name
VILLAGE HEALTH FOUNDATION, INC.
Practice address
4073-75 W. Pico Blvd.
Los Angeles, CA 90019-4308
Phone
(323) 733-0471
Fax
(323) 733-6427
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jewel Thais-Williams, L.AC.
Title
Director
Phone
(323) 733-0471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X AC6736 CA Primary

Addresses

Primary practice location

4073-75 W. Pico Blvd.
Los Angeles, CA 90019-4308

Mailing address

4073-75 W. Pico Blvd.
Los Angeles, CA 90019-4308
Phone (323) 733-0471

National Provider Directory

National Provider Directory
Tax ID family
The Village Health Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497897367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073-75 W. PICO BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194308",
            "telephone_number": "323-733-0471",
            "fax_number": "323-733-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073-75 W. PICO BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194308",
            "telephone_number": "323-733-0471",
            "fax_number": "323-733-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAIS-WILLIAMS",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-733-0471",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "AC6736",
            "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 Aug 22, 2020; 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.