Chla Teaching Clinics LLC

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

Organization subpart

No

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

Specialties & licenses 3

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

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

• Children'S Hospital Los Angeles

  • Specialty Pharmacy
  • Los Angeles, CA
  • NPI 1659552636

  Member Of

  NPD member

Locations

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Gregory Spurrier, M.D.

  • Pediatric Surgery Physician
  • West Hollywood, CA
  • NPI 1386060143
  Medicare reassignment NPD
• Nozomi Yamashita

  • Pediatric Endocrinology Physician
  • Los Angeles, CA
  • NPI 1114587144
  Medicare reassignment NPD
• Ryan Allen Kelln, D.O.

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1033478474

  CA

  Medicare reassignment NPD
• Jonathan Angel Santana, D.O

  • Pediatric Sports Medicine Physician
  • Los Angeles, CA
  • NPI 1831439306
  Medicare reassignment NPD (past)
• Andre Woods

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1144813726
  NPD Authorized official
• Adam Zisman

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1518461516
  Medicare reassignment NPD (past)
• Claudia Rose Borzutzky, MD

  • Pediatric Adolescent Medicine Physician
  • Los Angeles, CA
  • NPI 1326130956
  Medicare reassignment
• Angela Novela Buffenn, MD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1508957895
  Medicare reassignment
• Gabriel Paul Devlin, M.D.

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1235660796
  Medicare reassignment
• Ashley Kwon, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1376400143
  Medicare reassignment
• Bibiana Jin-Wan Reiser, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1912071663
  Medicare reassignment
• Emily L Zucker, MD

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1548764954
  Medicare reassignment

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": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        }
    ],
    "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"
        }
    ]
}

• Emiko Kelly Chiu, OT
• Fang-Tzu Chiu, DDS
• Rebecca M Chiu, L.AC.
• Tammy Chiu
• Yu Ting Chiu, PHARMD
• Evelyn Sooyi Cho, PHARM.D
• Susan Chiong Choa, M.D.
• Amy Choi, PHARM.D
• Ellen Choi
• Taedo Jake Choi, MD

• Multi-Specialty Clinic/Center in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Multi-Specialty Clinic/Center in California

• 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.