NPIMap

Organization Active NPI

Chla Teaching Clinics LLC

  • Multi-Specialty Clinic/Center
  • Arcadia, CA
National Provider Identifier
1669992152
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHLA TEACHING CLINICS LLC
Practice address
468 E Santa Clara St
Arcadia, CA 91006-7228
Phone
(626) 795-7177
NPI assigned
Jun 26, 2017
Reactivated
Aug 2, 2023
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Andre WoodsNPI 1144813726
Title
Director, Provider Network MGMT
Phone
(323) 361-4136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Urgent Care Clinic/Center 261QU0200X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

468 E Santa Clara St
Arcadia, CA 91006-7228

Mailing address

4650 W Sunset Blvd # Ms 87
Los Angeles, CA 90027-6062

Other practice location 1

1419 19th St.
Santa Monica, CA 90404
Phone (310) 820-8608

Other practice location 2

9500 Stockdale Hwy Ste 104
Bakersfield, CA 93311-3621
Phone (661) 664-1047

Other practice location 3

23838 Valencia Blvd Ste 140
Valencia, CA 91355-2156
Phone (661) 362-1240

Other practice location 4

3250 Wilshire Blvd Ste 201
Los Angeles, CA 90010-1577
Phone (323) 361-6233

Other practice location 5

5363 Balboa Blvd Ste 121
Encino, CA 91316-2869
Phone (818) 788-3061

Other practice location 6

3440 Torrance Blvd Ste 100
Torrance, CA 90503-5805
Phone (310) 303-3890

Other names 1

  • CHILDREN'S HOSPITAL LOS ANGELES (CHLA) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002390 CA Part B Supplier - Clinic/Group Practice 5799194742 Receives reassigned benefits from 12 practitioners
Practice locations: Valencia, CA; Torrance, CA; Santa Monica, CA; Los Angeles, CA; Encino, CA; Bakersfield, CA; Arcadia, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

488 E Santa Clara St
Ste 103
Arcadia, CA 91006
Phone (626) 359-3330

9500 Stockdale Hwy
Ste 10
Bakersfield, CA 93311
Phone (661) 664-1047

9500 Stockdale Hwy
Ste 104
Bakersfield, CA 93311
Phone (661) 664-1047

3250 Wilshire Blvd
Los Angeles, CA 90010
Phone (323) 361-2350

3250 Wilshire Blvd
Ste 2012
Los Angeles, CA 90010

3440 Torrance Blvd
Ste 1
Torrance, CA 90503

Practitioners & affiliated clinicians

Practitioners 104

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 104

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1669992152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD # MS 87",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 E SANTA CLARA ST",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067228",
            "telephone_number": "626-795-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 19th St.",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "90404",
            "country_code": "US",
            "telephone_number": "310-820-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Stockdale Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933113621",
            "country_code": "US",
            "telephone_number": "661-664-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23838 Valencia Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913552156",
            "country_code": "US",
            "telephone_number": "661-362-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Wilshire Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101577",
            "country_code": "US",
            "telephone_number": "323-361-6233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5363 Balboa Blvd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913162869",
            "country_code": "US",
            "telephone_number": "818-788-3061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Torrance Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905035805",
            "country_code": "US",
            "telephone_number": "310-303-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHLA TEACHING CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "deactivation_date": "2023-07-07",
        "reactivation_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER NETWORK MGMT",
        "authorized_official_telephone_number": "323-361-4136"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S HOSPITAL LOS ANGELES (CHLA)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CHILDREN'S HOSPITAL LOS ANGELES (CHLA)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.