NPIMap

Organization Active NPI

The Roads Foundation, Inc.

Doing business as ROADS Community Care Clinic

  • Community Health Clinic/Center
  • Compton, CA
National Provider Identifier
1508278359
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
550002986 Issued in CA
Legal business name
THE ROADS FOUNDATION, INC.
Doing business as
ROADS Community Care Clinic
ROADS Community Clinic - Compton
Practice address
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone
(310) 627-5850
Fax
(310) 627-5855
NPI assigned
May 28, 2014
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Shaunt Arevian, J.D.
Title
Ceo
Phone
(310) 627-5850

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Community Health Clinic/Center 261QC1500X 550002986 CA Primary
Dental Clinic/Center 261QD0000X NU
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

121 S Long Beach Blvd
Compton, CA 90221-3423

Mailing address

121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850

Other names 2

  • ROADS Community Care Clinic Doing business as
  • ROADS Community Clinic - Compton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20150521002128 CA Part B Supplier - Clinic/Group Practice 2961722558 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Compton, CA; Long Beach, CA; Lynwood, CA
O20151102002370 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 Practice locations: Compton, CA
O20221031001807 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
Practice locations: Lynwood, CA
O20230323001184 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
Practice locations: Long Beach, CA
O20240926000941 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardena, CA

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1508278359. Details of each certification follow.

Federally qualified health center certification: CCN 751804

Legal name
THE ROADS FOUNDATION, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 29, 2015
Last certification
Sep 29, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
121 S Long Beach Blvd
Compton, CA 90221-3423

Federally qualified health center certification: CCN A01130

Legal name
THE ROADS FOUNDATION, INC
Doing business as
ROADS COMMUNITY CLINIC-LYNWOOD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 2, 2022
Last certification
Nov 2, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
3737 Martin Luther King Jr Blvd
Ste 402
Lynwood, CA 90262-3533

Federally qualified health center certification: CCN A01895

Legal name
THE ROADS FOUNDATION, INC
Doing business as
ROADS - MCA BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 13, 2023
Last certification
Mar 13, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
4525 E Atherton St, Second Floor
Long Beach, CA 90815-3700

Federally qualified health center certification: CCN A01882

Legal name
THE ROADS FOUNDATION, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 6, 2024
Last certification
Sep 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
14111 Van Ness Ave
Ste 2
Gardena, CA 90249-2944

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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
05D2279811Roads Community Clinic - Lynwood3737 Martin Luther King Jr Blvd Ste 402, Lynwood, CA 90262Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

4525 E Atherton St
Fl Second
Long Beach, CA 90815
Phone (562) 961-0155

3737 Martin Luther King Jr Blvd
Ste 402
Lynwood, CA 90262
Phone (310) 609-3890

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Ketana Saem Individual Corporate DirectorBoard Member Mar 14, 2014
Kathleen M Edom Individual Corporate DirectorBoard Secretary Mar 14, 2014
Corporate DirectorBoard Member Mar 14, 2014
Menel S Amarasinghe Individual Corporate DirectorBoard Member Mar 14, 2014
Sarkis T Arevian Individual Corporate OfficerCoo Mar 2, 2015
W-2 Managing EmployeeCoo Mar 2, 2015
Corporate Director Mar 1, 2022
W-2 Managing EmployeeBehavioral Health Director Mar 2, 2022
Shaunt Arevian Individual Corporate OfficerCeo Apr 1, 2024
W-2 Managing EmployeeAd; Apr 9, 2021
Corporate OfficerCeo Apr 7, 2024
W-2 Managing Employee Apr 9, 2021
Janet M Pigott Individual Corporate DirectorBoard Member Mar 14, 2014
The Roads Foundation, Inc Organization, Compton, CA Non-profit Operational/Managerial Control Dec 1, 2025
Lawrence a Browing Individual Corporate DirectorBoard Chair Mar 14, 2014
Becky S Haugen Individual Corporate DirectorBoard Vice Chair Mar 14, 2014
Dytanna R Bailey Individual Corporate DirectorBoard Member Mar 14, 2014
DSK Financial Services Inc Organization, Yorba Linda, CA Corporation Operational/Managerial Control Jun 1, 2015
Tuesday Rollins Individual Corporate DirectorBoard Member Mar 14, 2014
Lee D Yoseloff Individual Corporate OfficerCeo Mar 2, 2015
W-2 Managing EmployeeCeo Mar 2, 2015
W-2 Managing EmployeeAd; Mar 2, 2015
Christopher J Clay Individual Corporate DirectorBoard Member Mar 14, 2014
Corporate DirectorBoard Vice Chair Mar 14, 2014
John Donald Adams Individual Corporate OfficerCmo Mar 2, 2015
W-2 Managing EmployeeCmo Mar 2, 2015
Raymond Hebard Individual Corporate DirectorBoard Member Mar 14, 2014
Jacqueline Betancourt Individual Corporate DirectorBoard Treasurer Mar 14, 2014
Corporate DirectorBoard Member Mar 14, 2014
Juliette L Fralick Individual Corporate OfficerCfo Mar 2, 2015
W-2 Managing EmployeeCfo Mar 2, 2015
Mihran Nahabedian Individual Corporate DirectorBoard Chair Mar 14, 2014
Van Andrew Brown Individual Corporate DirectorBoard Member Mar 14, 2014
Antone Sidney Curtis Individual Corporate DirectorBoard Member Mar 14, 2014

Owners & managing parties with NPI records 2

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
The Roads Foundation, IncGardena, CA, CCN A01882 Federally qualified health center Operational/Managerial Control Dec 1, 2025
Roads Community Clinic - ParamountParamount, CA, CCN A01901 Federally qualified health center Operational/Managerial Control Dec 1, 2025

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1508278359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213423",
            "telephone_number": "310-627-5850",
            "fax_number": "310-627-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213423",
            "telephone_number": "310-627-5850",
            "fax_number": "310-627-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROADS FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "AREVIAN",
        "authorized_official_first_name": "SHAUNT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-627-5850",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550002986",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROADS Community Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROADS Community Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROADS Community Clinic - Compton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

Verify at the official NPI Registry.