St Vincent Preventative Family Care

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

ST VINCENT PREVENTATIVE FAMILY CARE

Practice address

1221 W 3Rd St
Los Angeles, CA 90017-5181

Phone

(901) 337-3003

NPI assigned

Jun 7, 2022

Last updated

Jul 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent SeabornNPI 1881347953

Title

Ceo

Phone

(901) 337-3003

Specialties & licenses 5

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGFICD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Seaborn

  • Case Manager/Care Coordinator
  • Los Angeles, CA
  • NPI 1881347953
  NPD Authorized official

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1629707526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175181",
            "telephone_number": "901-337-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT PREVENTATIVE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SEABORN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-337-3003"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Nicholas Medical Group
• St Nicholas Medical Group
• Kimberly St Romain
• St Vincent Medical Center
• St Vincent Medical Center
• St Vincent Radiological Medical Group
• St Vincent Radiological Medical Group, Inc
• St Vincent Senior Citizen Nutrition Program (St Vincent Meals on Wheels)
• St. Anne Medical Clinic Professional Corp
• St. Anne's

• Supports Brokerage Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.