Active NPI
The Roads Foundation, Inc
Doing business as ROADS Community Clinic - East Long Beach
- Clinic/Center
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 6
| 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 |
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
- Corporation
- 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
- 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
- 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
- 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
- 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).
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
2961722558
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
O20150521002128, O20221031001807, O20230323001184, O20240926000941
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
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 |
National Provider Directory
National Provider DirectoryLocations
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.
| 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 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1801864269
Corporate Director, W-2 Managing Employee
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
Operational/Managerial Control
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| 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 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba ROADS Community Care Clinic
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
The Roads Foundation, Inc
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Compton, CA
- NPI 1437877248
-
- Family Medicine Physician
- Lynwood, CA
- NPI 1255953311
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1245851211
-
- Family Medicine Physician
- Downey, CA
- NPI 1073039301
-
- Family Nurse Practitioner
- Gardena, CA
- NPI 1689041212
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1205425972
-
- Obstetrics & Gynecology Physician
- Long Beach, CA
- NPI 1962476028
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1982884904
-
- Foot & Ankle Surgery Podiatrist
- Costa Mesa, CA
- NPI 1811481914
-
- Clinical Social Worker
- Long Beach, CA
- NPI 1821026139
-
- Clinical Social Worker
- Long Beach, CA
- NPI 1497304539
-
- Psychologist
- Long Beach, CA
- NPI 1154390524
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.