Organization Active NPI

The Roads Foundation, Inc

Doing business as ROADS Community Clinic - East Long Beach

  • Clinic/Center
  • Long Beach, CA
National Provider Identifier
1669812392
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE ROADS FOUNDATION, INC
Doing business as
ROADS Community Clinic - East Long Beach
Practice address
4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2827
Phone
(310) 627-5850
NPI assigned
Jun 26, 2013
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Shaunt Arevian, JD
Title
Ceo
Phone
(310) 627-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2827

Mailing address

121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850

Other practice location 1

14111 Van Ness Ave Ste 2
Gardena, CA 90249-2944
Phone (310) 516-9152

Other practice location 2

16415 Colorado Ave Ste 308
Paramount, CA 90723-5053
Phone (562) 630-5581

Other practice location 3

4525 E Atherton St
Long Beach, CA 90815-3700
Phone (562) 961-0155

Other practice location 4

3737 Martin Luther King Jr Blvd Ste 402
Lynwood, CA 90262-3533
Phone (310) 639-9363

Other names 1

  • ROADS Community Clinic - East Long Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20150521002128 CA Part B Supplier - Clinic/Group Practice 2961722558 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
Practice locations: Compton, CA; Long Beach, CA; Lynwood, CA
O20200107003088 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 Practice locations: Long Beach, CA
O20221031001807 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lynwood, CA
O20230323001184 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Long Beach, CA
O20240926000941 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 1 other NPI on this enrollment
Practice locations: Gardena, CA
O20241127000883 CA Part A Provider - Federally Qualified Health Center (FQHC) 2961722558 Practice locations: Paramount, CA

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1669812392. Details of each certification follow.

Federally qualified health center certification: CCN 921823

Legal name
THE ROADS FOUNDATION, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 30, 2019
Last certification
Dec 30, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2897

Federally qualified health center certification: CCN A01130

Legal name
THE ROADS FOUNDATION, INC
Doing business as
ROADS COMMUNITY CLINIC-LYNWOOD
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 2, 2022
Last certification
Nov 2, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
3737 Martin Luther King Jr Blvd
Ste 402
Lynwood, CA 90262-3533

Federally qualified health center certification: CCN A01895

Legal name
THE ROADS FOUNDATION, INC
Doing business as
ROADS - MCA BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 13, 2023
Last certification
Mar 13, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
4525 E Atherton St, Second Floor
Long Beach, CA 90815-3700

Federally qualified health center certification: CCN A01882

Legal name
THE ROADS FOUNDATION, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 6, 2024
Last certification
Sep 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
14111 Van Ness Ave
Ste 2
Gardena, CA 90249-2944

Federally qualified health center certification: CCN A01901

Legal name
THE ROADS FOUNDATION, INC
Doing business as
ROADS COMMUNITY CLINIC - PARAMOUNT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 24, 2024
Last certification
Oct 24, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 5, 2006 in CA
Enrollment address
16415 Colorado Ave
Ste 308
Paramount, CA 90723-5053

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2182162Roads Community Clinic4800 E Los Coyotes Diagonal Unit 101, Long Beach, CA 90815Certificate of waiverApr 15, 2028
05D2306627Roads Community Clinic - Paramount16415 S Colorado Ave, Ste 308, Paramount, CA 90723Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850

14111 Van Ness Ave
Ste 2
Gardena, CA 90249
Phone (310) 516-9152

4525 E Atherton St
Fl 2
Long Beach, CA 90815
Phone (562) 422-2240

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Mihran Nahabedian Individual Corporate DirectorBoard Chair Dec 1, 2019
Corporate DirectorBoard Chair Mar 14, 2014
Shaunt Arevian Individual Corporate OfficerCeo Apr 1, 2024
W-2 Managing Employee Apr 9, 2021
Corporate OfficerCeo Apr 7, 2024
Lee D Yoseloff Individual Corporate OfficerCeo Sep 25, 2015
W-2 Managing EmployeeCeo Mar 2, 2015
Corporate OfficerCeo Mar 2, 2015
W-2 Managing EmployeeAd; Mar 2, 2015
Van Andrew Brown Individual Corporate DirectorBoard Member Jan 15, 2017
Corporate DirectorBoard Member Mar 14, 2014
Antone Sidney Curtis Individual Corporate DirectorBoard Member Dec 1, 2017
Corporate DirectorBoard Member Mar 14, 2014
Jacqueline Betancourt Individual Corporate DirectorBoard Member Mar 14, 2014
Kathleen M Edom Individual Corporate DirectorBoard Member Mar 14, 2014
Menel S Amarasinghe Individual Corporate DirectorBoard Member Mar 14, 2014
Sarkis T Arevian Individual Corporate Director Mar 1, 2022
W-2 Managing EmployeeBehavioral Health Director Mar 2, 2022
The Roads Foundation, Inc Organization, Compton, CA Non-profit Operational/Managerial Control Dec 1, 2025
DSK Financial Services Inc Organization, Midlothian, TX Corporation Operational/Managerial Control Jun 1, 2015
Christopher J Clay Individual Corporate DirectorBoard Vice Chair Mar 14, 2014
John Donald Adams Individual Corporate OfficerCmo Mar 2, 2015
W-2 Managing EmployeeCmo Mar 2, 2015
Raymond Hebard Individual Corporate DirectorBoard Member Mar 14, 2014
Juliette L Fralick Individual Corporate OfficerCfo Mar 2, 2015
W-2 Managing EmployeeCfo Mar 2, 2015

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Roads Foundation, IncCompton, CA, CCN 751804 Federally qualified health center Operational/Managerial Control Dec 1, 2025
Roads Community Clinic-LynwoodLynwood, CA, CCN A01130 Federally qualified health center Operational/Managerial Control Dec 1, 2025
Roads - Mca Behavioral HealthLong Beach, CA, CCN A01895 Federally qualified health center Operational/Managerial Control Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1669812392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S LONG BEACH BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213423",
            "telephone_number": "310-627-5850",
            "fax_number": "310-627-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 E LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152827",
            "telephone_number": "310-627-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14111 Van Ness Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902492944",
            "country_code": "US",
            "telephone_number": "310-516-9152",
            "fax_number": "310-329-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 Colorado Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235053",
            "country_code": "US",
            "telephone_number": "562-630-5581",
            "fax_number": "562-630-0411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 E Atherton St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153700",
            "country_code": "US",
            "telephone_number": "562-961-0155",
            "fax_number": "562-961-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Martin Luther King Jr Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902623533",
            "country_code": "US",
            "telephone_number": "310-639-9363",
            "fax_number": "310-639-9251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ROADS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "AREVIAN",
        "authorized_official_first_name": "SHAUNT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-627-5850",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROADS Community Clinic - East Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.