NPIMap

Organization Active NPI

JWCH Institute, Inc.

Doing business as JWCH Institute Inc Medical Clinic Weingart Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1629251897
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
950001280 Issued in CA
Legal business name
JWCH INSTITUTE, INC.
Doing business as
JWCH Institute Inc Medical Clinic Weingart Center
Practice address
522 S San Pedro St
Los Angeles, CA 90013-2102
Phone
(213) 622-2639
Fax
(213) 624-8738
NPI assigned
Dec 11, 2007
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
JWCH INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Alvaro P. Ballesteros
Title
Chief Executive Officer
Phone
(213) 484-1186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 950001280 CA Primary

Addresses

Primary practice location

522 S San Pedro St
Los Angeles, CA 90013-2102

Mailing address

5650 Jillson St
Ste 650
Commerce, CA 90040-1482
Phone (213) 484-1186

Other names 1

  • JWCH Institute Inc Medical Clinic Weingart Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wesley Health Centers - Midnight Mission69 organizations share this tax ID, including this one
Part of
Wesley Health Centers - Midnight Mission

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

Locations

5650 Jillson St
Ste 650
Commerce, CA 90040

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1629251897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 JILLSON ST",
            "address_2": "STE 650",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401482",
            "telephone_number": "213-484-1186",
            "fax_number": "213-413-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132102",
            "telephone_number": "213-622-2639",
            "fax_number": "213-624-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWCH INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JWCH INSTITUTE, INC.",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-484-1186"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "950001280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JWCH Institute Inc Medical Clinic Weingart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 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.