NPIMap

Organization Active NPI

County of Los Angeles

Doing business as Littlerock Community Clinic

  • Clinic/Center
  • Littlerock, CA
National Provider Identifier
1508996133
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF LOS ANGELES
Doing business as
Littlerock Community Clinic
Practice address
8201 East Pearblossom Hwy
Littlerock, CA 93543
Phone
(661) 945-8382
NPI assigned
Mar 6, 2007
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Mr. Quentin O'Brien
Title
Acn, Ceo
Phone
(213) 288-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

8201 East Pearblossom Hwy
Littlerock, CA 93543

Mailing address

8201 Pearblossom Hwy
Littlerock, CA 93543
Phone (661) 945-8382

Other identifiers 1

IdentifierTypeStateIssuer
=========MedicaidCA

Other names 1

  • Littlerock Community Clinic Doing business as

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
05D0972808Littlerock Community Clinic8201 Pearblossom Hwy, Littlerock, CA 93543Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hudson Health Center613 organizations share this tax ID, including this one
Part of
Hudson Health Center

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1508996133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PEARBLOSSOM HWY",
            "city": "LITTLEROCK",
            "state": "CA",
            "postal_code": "93543",
            "telephone_number": "661-945-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 EAST PEARBLOSSOM HWY",
            "city": "LITTLEROCK",
            "state": "CA",
            "postal_code": "93543",
            "telephone_number": "661-945-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "ACN, CEO",
        "authorized_official_telephone_number": "213-288-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Littlerock Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littlerock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.