NPIMap

Organization Active NPI

Yehowa Medical Services

  • Federally Qualified Health Center (FQHC)
  • South Gate, CA
National Provider Identifier
1689495673
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YEHOWA MEDICAL SERVICES
Practice address
5720 E. Imperial Hwy
N-O
South Gate, CA 90280
Phone
(323) 776-1500
Fax
(855) 777-2289
NPI assigned
Oct 22, 2024
Organization subpart
Yes
Parent organization
YEHOWA MEDICAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Thomas Tweh Jr.
Title
Ceo
Phone
(323) 776-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5720 E. Imperial Hwy
N-O
South Gate, CA 90280

Mailing address

24404 Vermont Ave Ste 201
Harbor City, CA 90710-2321
Phone (323) 776-1500

Other names 1

  • Yehowa Medical Services- Mobile #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yehowa Medical Services11 organizations share this tax ID, including this one
Part of
Yehowa Medical Services

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5720 Imperial Hwy
South Gate, CA 90280

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1689495673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE STE 201",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102321",
            "telephone_number": "323-776-1500",
            "fax_number": "424-263-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 E. IMPERIAL HWY",
            "address_2": "N-O",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "90280",
            "telephone_number": "323-776-1500",
            "fax_number": "855-777-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHOWA MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YEHOWA MEDICAL SERVICES",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "TWEH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-776-1500",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yehowa Medical Services- Mobile #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.