T.H.E. Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

960001020 Issued in CA

Legal business name

T.H.E. CLINIC, INC.

Practice address

3721 S la Brea Ave
Los Angeles, CA 90016-5309

Phone

(323) 730-1920

Fax

(213) 742-6785

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Clifford D Shiepe, MS

Title

Interim Chief Executive Officer

Phone

(323) 730-1920

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

T H E Clinic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• T.H.E. Clinic, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1568507978
  NPD tax ID
• T.H.E. Clinic, Inc.

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1730035015
  NPD tax ID
• The

  • Clinic/Center
  • Brea, CA
  • NPI 1639544505
  NPD tax ID

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Hal Keene, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1235219031
  NPD (past)
• Alexander Lee, D.D.S.

  • Dentist
  • Gardena, CA
  • NPI 1346772878
  NPD (past)
• Norah McIntire, L.AC.

  • Acupuncturist
  • Temecula, CA
  • NPI 1033350509
  NPD (past)
• Joan E. Presby, MD

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1578622189
  NPD (past)
• Abbas Safieddine, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1598297210
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1609251735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900621104",
            "telephone_number": "323-730-1920",
            "fax_number": "213-742-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165309",
            "telephone_number": "323-730-1920",
            "fax_number": "213-742-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.H.E. CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "SHIEPE",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-730-1920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "960001020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9600001020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T Nikravesh MD Corporation
• T.D.D. Supportive Living Inc
• T.F.C Pharmacy Inc
• T.F.C Pharmacy, Inc.
• T.H.E. Clinic, Inc.
• T.H.E. Clinic, Inc.
• Angel Ta, PHARM.D.
• Han Hillary Ta
• Hung Ta
• Kathleen Nguyen Ta, MSW

• Federally Qualified Health Center (FQHC) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.