The Roads Foundation, Inc
Organization Active NPI Clinic/Center · Long Beach, CA
NPI 1669812392 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1669812392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- THE ROADS FOUNDATION, INC
- Practice address
- 4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2827 - Phone
- (310) 627-5850
- NPI assigned
- Jun 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Shaunt Arevian, JD
- Title
- Ceo
- Phone
- (310) 627-5850
Owners & managing parties with NPI records 2
-
Sarkis T. Arevian, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Facilities with the same owner 1
Practitioners 74
-
Chastacey Bowers, NURSE PRACTITIONER
-
Sheryl Lynn Clare Diaz, DO, MS
-
Kelli M. Hiraoka, FNP-BC, RN
-
Lindsey Kim, DNP, APRN, FNP-BC
-
Monica P Leff, MD
-
Jay Robert Lentzner, M.D.
-
Dana Lin, M.D.
-
Frank Martinez, LCSW
-
Jennifer Marie Merva, LCSW
-
Matthew Miller, PSYD
-
Jesse Ninmol, MD, MPH
-
Adaeze Nkeiruka Nwanonenyi, DNP, FNP-C, PMHNP-BC
-
Dagmara Olsen, MD
-
Dharmesh N Sheth, MD
-
Mikki Barker, D.O.
-
Sarkis T. Arevian, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2182162 | Roads Community Clinic | Certificate of waiver | Apr 15, 2028 |
| 05D2306627 | Roads Community Clinic - Paramount | Certificate of waiver | Jun 20, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in CA
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
- Corporation · Non-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
- Corporation · Non-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
- Corporation · Non-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
- Corporation · Non-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
- Corporation · Non-profit
- Incorporated
- Dec 5, 2006 in CA
- Enrollment address
- 16415 Colorado Ave
Ste 308
Paramount, CA 90723-5053
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Mihran Nahabedian |
Corporate Director |
Dec 1, 2019 | |
| Corporate Director |
Mar 14, 2014 | ||
| Shaunt Arevian |
Corporate Officer |
Apr 1, 2024 | |
| W-2 Managing Employee | Apr 9, 2021 | ||
| Corporate Officer |
Apr 7, 2024 | ||
| Lee D Yoseloff |
Corporate Officer |
Sep 25, 2015 | |
| W-2 Managing Employee |
Mar 2, 2015 | ||
| Corporate Officer |
Mar 2, 2015 | ||
| W-2 Managing Employee |
Mar 2, 2015 | ||
| Van Andrew Brown |
Corporate Director |
Jan 15, 2017 | |
| Corporate Director |
Mar 14, 2014 | ||
| Antone Sidney Curtis |
Corporate Director |
Dec 1, 2017 | |
| Corporate Director |
Mar 14, 2014 | ||
| Jacqueline Betancourt |
Corporate Director |
Mar 14, 2014 | |
| Kathleen M Edom |
Corporate Director |
Mar 14, 2014 | |
| Menel S Amarasinghe |
Corporate Director |
Mar 14, 2014 | |
| Sarkis T Arevian |
Corporate Director | Mar 1, 2022 | |
| W-2 Managing Employee |
Mar 2, 2022 | ||
| The Roads Foundation, Inc |
Operational/Managerial Control | Dec 1, 2025 | |
| DSK Financial Services Inc |
Operational/Managerial Control | Jun 1, 2015 | |
| Christopher J Clay |
Corporate Director |
Mar 14, 2014 | |
| John Donald Adams |
Corporate Officer |
Mar 2, 2015 | |
| W-2 Managing Employee |
Mar 2, 2015 | ||
| Raymond Hebard |
Corporate Director |
Mar 14, 2014 | |
| Juliette L Fralick |
Corporate Officer |
Mar 2, 2015 | |
| W-2 Managing Employee |
Mar 2, 2015 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| The Roads Foundation, Inc |
Federally qualified health center | Operational/Managerial Control | Dec 1, 2025 |
| Roads Community Clinic-Lynwood |
Federally qualified health center | Operational/Managerial Control | Dec 1, 2025 |
| Roads - Mca Behavioral Health |
Federally qualified health center | Operational/Managerial Control | Dec 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155
4800 E Los Coyotes Diagonal
Long Beach, CA 90815
Phone (310) 627-5850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
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
3737 Martin Luther King Jr Blvd Ste 402
Lynwood, CA 90262-3533
Phone (310) 639-9363
Other practice location 2
4525 E Atherton St
Long Beach, CA 90815-3700
Phone (562) 961-0155
Other practice location 3
16415 Colorado Ave Ste 308
Paramount, CA 90723-5053
Phone (562) 630-5581
Other practice location 4
14111 Van Ness Ave Ste 2
Gardena, CA 90249-2944
Phone (310) 516-9152
Other names
- ROADS Community Clinic - East Long Beach
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All providers in Long Beach, CA · Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.