Organization Active NPI

All Family Neighborhood Medical Clinic and Wellness Center

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1760698740
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALL FAMILY NEIGHBORHOOD MEDICAL CLINIC AND WELLNESS CENTER
Practice address
874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205
Phone
(323) 238-0800
NPI assigned
May 15, 2007
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Ms. Terri M. HannahNPI 1932260254
Title
Owner
Phone
(323) 238-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205

Mailing address

1379 W Park Western Dr
Suite 322
San Pedro, CA 90732-2217
Phone (323) 238-0800

National Provider Directory

National Provider Directory

Locations

874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037
Phone (310) 880-1972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1760698740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 W PARK WESTERN DR",
            "address_2": "SUITE 322",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322217",
            "telephone_number": "323-238-0800",
            "fax_number": "323-238-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900371205",
            "telephone_number": "323-238-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FAMILY NEIGHBORHOOD MEDICAL CLINIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-238-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.