NPIMap

Organization Active NPI

County of Los Angeles

Doing business as Lake Los Angeles Primary Care Clinic

  • Pediatrics Physician
  • Commerce, CA
National Provider Identifier
1508299330
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COUNTY OF LOS ANGELES
Doing business as
Lake Los Angeles Primary Care Clinic
Practice address
5555 Ferguson Dr
Commerce, CA 90022-5164
Phone
(323) 890-7509
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Art Bernal
Title
Cbo Manager
Phone
(323) 890-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

5555 Ferguson Dr
Commerce, CA 90022-5164

Mailing address

16921 E Avenue O Ste G
Lake Los Angeles, CA 93591-3045

Other names 1

  • Lake Los Angeles Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Health Pharmacy613 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1508299330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16921 E AVENUE O STE G",
            "city": "LAKE LOS ANGELES",
            "state": "CA",
            "postal_code": "935913045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 FERGUSON DR",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225164",
            "telephone_number": "323-890-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "CBO MANAGER",
        "authorized_official_telephone_number": "323-890-7775"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Los Angeles Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.