NPIMap

Organization Active NPI

Central Neighborhood Health Foundat

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1699248674
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL NEIGHBORHOOD HEALTH FOUNDAT
Practice address
711 E Via Wanda
Long Beach, CA 90805-6526
Phone
(213) 536-8514
NPI assigned
Jan 2, 2019
Organization subpart
Yes
Parent organization
CENTRAL NEIGHBORHOOD HEALTH FOUNDATAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Cynthia Arriola
Title
Director of Business Office
Phone
(213) 536-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

711 E Via Wanda
Long Beach, CA 90805-6526

Mailing address

714 W Olympic Blvd Ste 801
Los Angeles, CA 90015-1440
Phone (213) 536-8515

Other identifiers 1

IdentifierTypeStateIssuer
261QP2300XMedicaidCA

Other names 2

  • CENTRAL NEIGHBORHOOD HEALTH FOUNDATION Doing business as
  • CENTRAL NEIGHBORHOOD HEALTH FOUNDAT Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
H Street Clinic14 organizations share this tax ID, including this one
Part of
Central Neighborhood Health Foundat

Other organizations with this tax ID 13

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

View all 13

Locations

711 E Via Wanda
Long Beach, CA 90805
Phone (213) 536-8514

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1699248674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W OLYMPIC BLVD STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151440",
            "telephone_number": "213-536-8515",
            "fax_number": "323-798-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E VIA WANDA",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908056526",
            "telephone_number": "213-536-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDAT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDAT",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ARRIOLA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "213-536-8514"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261QP2300X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL NEIGHBORHOOD HEALTH FOUNDAT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.