NPIMap

Organization Active NPI

St. John'S Well Child and Family Center, Inc.

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1649680588
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Practice address
400 W Washington Blvd BLDG E-102
Los Angeles, CA 90015-4108
Phone
(323) 541-1600
Fax
(323) 541-1661
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
James J. Mangia
Title
President and Ceo
Phone
(323) 541-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

400 W Washington Blvd BLDG E-102
Los Angeles, CA 90015-4108

Mailing address

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1600

Other identifiers 1

IdentifierTypeStateIssuer
1649680588MedicaidCA

Other names 1

  • St. John's Well Child and Family Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St John'S Well Child and Family Center35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

400 W Washington Blvd
Bldg E102
Los Angeles, CA 90015

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1649680588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1600",
            "fax_number": "323-541-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W WASHINGTON BLVD BLDG E-102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154108",
            "telephone_number": "323-541-1600",
            "fax_number": "323-541-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "MANGIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "323-541-1600"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649680588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Well Child and Family 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 Apr 25, 2017; 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.