Tungsten Health South Los Angeles

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

TUNGSTEN HEALTH SOUTH LOS ANGELES

Practice address

1005 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2149

Phone

(508) 212-9951

NPI assigned

Mar 26, 2025

Organization subpart

No

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

Authorized official

Name

Victoria Cleveland

Title

Manager, New Markets

Phone

(508) 212-9951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1720880941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 ARKANSAS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072434",
            "telephone_number": "508-212-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212149",
            "telephone_number": "508-212-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNGSTEN HEALTH SOUTH LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER, NEW MARKETS",
        "authorized_official_telephone_number": "508-212-9951"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eula Patrice McCarver-Johnson
• Kathryn Ivy Olson, PT, DPT
• Planned Parenthood Los Angeles Compton Center
• Andrei Sabio
• Tena Cares Inc
• Myr-Jane Bautista Valente, RN
• Kelly Yepremian, M.D.

• PACE Provider Organization in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.