Active NPI
Clinica MSR Oscar a Romero
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
National Provider Identifier
1558524264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 550001341
- Legal business name
- CLINICA MSR OSCAR A ROMERO
- Practice address
- 201 S Alvarado St Ste 100
Los Angeles, CA 90057-2356 - Phone
- (213) 989-7700
- Fax
- (213) 201-8319
- NPI assigned
- Jul 3, 2008
- Last updated
- Jul 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Rossato
- Title
- Executive Director
- Phone
- (213) 201-2737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 550001341 | CA | Primary |
Addresses
Primary practice location
201 S Alvarado St Ste 100
Los Angeles, CA 90057-2356
Mailing address
123 S Alvarado St
Los Angeles, CA 90057-2201
Phone (213) 201-2737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70567F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1558524264. Details of each certification follow.
Federally qualified health center certification: CCN 751123
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CLINICA MSR OSCAR A ROMERO
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 16, 2014
- Last certification
- Sep 16, 2014
- Ownership / control type
- For profit – corporation
- Facility address
- 201 South Alvarado Street, Suite 100
Los Angeles, CA 90057
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406678400000",
"number": "1558524264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "213-201-2737",
"fax_number": "213-989-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S ALVARADO ST STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572356",
"telephone_number": "213-989-7700",
"fax_number": "213-201-8319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA MSR OSCAR A ROMERO",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2014-07-30",
"status": "A",
"authorized_official_last_name": "ROSSATO",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "213-201-2737"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "550001341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70567F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Clinica Medica Mi Pueblo, Medical Clinic, Inc
- Clinica Medica Teocali de Boyle Heights, Inc.
- Clinica Monsignor Oscar a Romero
- Clinica Monsignor Oscar a Romero
- Clinica Monsignor Oscar a. Romero (Clinica Msr Oscar A Romero)
- Clinica MSR Oscar a Romero
- Clinica MSR Oscar a Romero
- Clinica MSR. Oscar a. Romero
- Clinica MSR. Oscar a. Romero
- Clinica MSR. Oscar a. Romero
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.