City Care Clinic

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

Legal business name

CITY CARE CLINIC

Practice address

6622 Crenshaw Blvd
Los Angeles, CA 90043-4102

Phone

(213) 468-8404

NPI assigned

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

William Perez

Title

Administrator

Phone

(323) 547-0144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1679255343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434102",
            "telephone_number": "213-468-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-547-0144"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citihealth Services Inc
• Rusaun Citizen
• Russell Citizen
• Citizens Medical Group
• Citizens of the World Charter Schools - Los Angeles
• City Care Pharmacy, Inc.
• City Help, Inc
• City Medical Center Inc.
• City Medical Center Inc.
• City Medical Equipment Inc

• Community Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.