The Childrens Clinic 'Serving Children and Their Families'

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

960000104 Issued in CA

Legal business name

THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'

Doing business as

S. Mark Taper Foundation Children's Clinic Family Health Ctr

Practice address

455 E Columbia St
Suite 201
Long Beach, CA 90806-1620

Phone

(562) 933-0412

Fax

(562) 933-0487

NPI assigned

Dec 20, 2006

Last updated

May 2, 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

Jina L. Lawler, MSW

Title

Chief Operations Officer

Phone

(562) 264-3985

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• S. Mark Taper Foundation Children's Clinic Family Health Ctr Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639233935. Details of each certification follow.

• CCN 051110 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 051110

Legal name

THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 17, 2007

Last certification

Oct 17, 2007

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 16, 1939 in CA

Enrollment address

455 E Columbia St
# 201
Long Beach, CA 90806-1620

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Children's Clinic, Serving Children and Their Families

  dba TCC Family Health, Healthy Aging at St. Mary

  • Primary Care Clinic/Center
  • Long Beach, CA
  • NPI 1023998986

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba The Children's Clinic Family Health Center Westside

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1205250263

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba TCC Family Health

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1215493259

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba The Vasek Polak Children's Clinic Family Health Center

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1255495552

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba The Children's Clinic Family Health Center Cabrillo Gateway

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1275917692

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba The Children's Clinic Family Health Center in Bellflower

  • Community Health Clinic/Center
  • Bellflower, CA
  • NPI 1447556170

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba TCCFHC in NLB at Hamilton Middle School

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1699839993

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba The Children's Clinic Family Health Center Roosevelt

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1851775795

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba TCC Family Health

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1881150548

  3870544919

  Same PAC ID
• The Childrens Clinic 'Serving Children and Their Families'

  dba TCC at the LB Multi-Service Center for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1942345939

  3870544919

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Guadalupe Padilla, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Long Beach, CA
  • NPI 1760406615

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1639233935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-264-3985",
            "fax_number": "562-216-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E COLUMBIA ST",
            "address_2": "SUITE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061620",
            "telephone_number": "562-933-0412",
            "fax_number": "562-933-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "LAWLER",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "562-264-3985",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960000104",
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11466F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. Mark Taper Foundation Children's Clinic Family Health Ctr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S. Mark Taper Foundation Children's Clinic Family Health Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Childrens Clinic 'Serving Children and Their Families' (The Children's Clinic Family Health Center Westside)
• The Childrens Clinic 'Serving Children and Their Families' (TCC Family Health)
• The Childrens Clinic 'Serving Children and Their Families' (The Vasek Polak Children's Clinic Family Health Center)
• The Childrens Clinic 'Serving Children and Their Families' (The Children's Clinic Family Health Center Cabrillo Gateway)
• The Childrens Clinic 'Serving Children and Their Families' (The Children's Clinic Serving Children & Their Families Mobile Clinic)
• The Childrens Clinic 'Serving Children and Their Families' (TCCFHC in NLB at Hamilton Middle School)
• The Childrens Clinic 'Serving Children and Their Families' (The Children's Clinic Family Health Center Roosevelt)
• The Childrens Clinic 'Serving Children and Their Families'
• The Childrens Clinic 'Serving Children and Their Families' (TCC Family Health)
• The Childrens Clinic 'Serving Children and Their Families' (TCC at the LB Multi-Service Center for the Homeless)

• Community Health Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.