NPIMap

Organization Active NPI

Bienvenidos Childrens Center

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1568674398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A63662 Issued in CA
Legal business name
BIENVENIDOS CHILDRENS CENTER
Practice address
5257 E Beverly Blvd
Los Angeles, CA 90022-2020
Phone
(323) 726-9790
Fax
(323) 726-9789
NPI assigned
May 4, 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
George Moran, MD
Title
Medical Director
Phone
(323) 726-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A63662 CA Primary

Addresses

Primary practice location

5257 E Beverly Blvd
Los Angeles, CA 90022-2020

Mailing address

5257 E Beverly Blvd
Los Angeles, CA 90022-2020
Phone (323) 726-9790

Other identifiers 1

IdentifierTypeStateIssuer
EAP70881FMedicaidCA

Other names 1

  • EAST LA MENS HEALTH CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Bienvenidos Childrens Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

5257 E Beverly Blvd
Los Angeles, CA 90022
Phone (323) 201-4154

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568674398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222020",
            "telephone_number": "323-726-9790",
            "fax_number": "323-726-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222020",
            "telephone_number": "323-726-9790",
            "fax_number": "323-726-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVENIDOS CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-726-9790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A63662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70881F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST LA MENS HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.