NPIMap

Organization Active NPI

Family Health Care Centers of Greater Los Angeles, Inc.

Doing business as FHCCGLA Downey Family Medical Center

  • Community Health Clinic/Center
  • Downey, CA
National Provider Identifier
1790051423
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Doing business as
FHCCGLA Downey Family Medical Center
FHCCGLA FEDDE School Based Health Center
Hawaiian Gardens Health Center
Practice address
12113 Woodruff Ave
Suite a
Downey, CA 90241
Phone
(562) 231-5600
Fax
(562) 803-1430
NPI assigned
Mar 27, 2012
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Mrs. Raquel Villa
Title
Chief Executive Officer
Phone
(562) 928-9600

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Community Health Clinic/Center 261QC1500X NU Primary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Registered Dietitian 133V00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

12113 Woodruff Ave
Suite a
Downey, CA 90241

Mailing address

6001 E Washington Blvd
Commerce, CA 90040-2451
Phone (562) 928-9600

Other practice location 1

21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025
Phone (562) 928-9600

Other practice location 2

22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740
Phone (562) 928-9600

Other names 3

  • FHCCGLA Downey Family Medical Center Doing business as
  • FHCCGLA FEDDE School Based Health Center Doing business as
  • Hawaiian Gardens Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150714002467 CA Part A Provider - Federally Qualified Health Center (FQHC) 8921902057 Practice locations: Hawaiian Gardens, CA
O20170818002645 CA Part A Provider - Federally Qualified Health Center (FQHC) 8921902057 Practice locations: Downey, CA
O20250828000749 CA Part A Provider - Federally Qualified Health Center (FQHC) 8921902057 Practice locations: Hawaiian Gardens, CA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1790051423. Details of each certification follow.

Federally qualified health center certification: CCN 751176

Legal name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Doing business as
HAWAIIAN GARDENS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2023
Last certification
Mar 1, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 2001 in CA
Enrollment address
22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740

Federally qualified health center certification: CCN 921008

Legal name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Doing business as
FHCCGLA DOWNEY FAMILY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 14, 2017
Last certification
Aug 14, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationProprietary
Incorporated
Sep 13, 2001 in CA
Enrollment address
12113 Woodruff Ave
Ste a
Downey, CA 90241-5605

Federally qualified health center certification: CCN A01973

Legal name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC
Doing business as
FHCCGLA FEDDE SCHOOL BASED HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 28, 2025
Last certification
Aug 28, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
21409 Elaine Ave
Hawaiian Gardens, CA 90716-1025

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2039566Fhccgla Downey Family Medical Center12113 Woodruff Ave Ste a, Downey, CA 90241Provider-performed microscopyApr 11, 2028
05D2307928Fhccgla Fedde School Based Health Center21409 Elaine Avenue, Hawaiian Gardens, CA 90716Certificate of waiverJul 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hawaiian Gardens HLTH Ctr13 organizations share this tax ID, including this one
Part of
Hawaiian Gardens HLTH Ctr

Other organizations with this tax ID 12

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

Locations

21409 Elaine Ave
Hawaiian Gardens, CA 90716
Phone (562) 215-1820

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marie Bagwell Individual Corporate DirectorBoard Vice President Jan 1, 2004
Corporate DirectorTreasurer Jan 1, 2004
Yeryca Ramos Individual Corporate OfficerCfo Nov 1, 2012
W-2 Managing EmployeeCfo Jun 8, 2015
Mayra Majano Individual Corporate DirectorBoard Secretary Jan 1, 2004
Corporate DirectorBoard Chair Jan 1, 2004
Jacqueline Derimow Individual Corporate DirectorBoard Member Feb 1, 2006
Corporate DirectorBoard Vice Chair Feb 1, 2006
Corporate DirectorChair of Board President Feb 1, 2006
Jorge Ventura Individual Corporate DirectorBoard President Jan 1, 2008
Corporate DirectorSecretary Jan 1, 2008
Corporate DirectorChair of Board Vice President Jan 1, 2008
Raquel Villa Individual Corporate OfficerCoo/Ceo Mar 22, 1993
W-2 Managing EmployeeCoo/Ceo Jun 18, 2015
W-2 Managing EmployeeCoo/Ceo Aug 7, 2017
Corporate DirectorCoo/Ceo Jun 8, 2015
W-2 Managing EmployeeC.E.O / C.O.O. Jun 18, 2015
Mark Lester Individual Corporate DirectorBoard Member Mar 1, 2014
Robert Hooper Individual Corporate DirectorBoard Member Jan 1, 2014
Family Health Care Centers of Greater Los Angeles Inc Organization, Bell Gardens, CA Corporation, Non-profit 5% Or Greater Security Interest Sep 13, 2001
Talpa Angulo Individual Corporate DirectorBoard Secretery Nov 1, 2024
Long Thanh Doan Individual Contracted Managing EmployeeC.F.O. Nov 1, 2024
Corporate OfficerC.F.O. Nov 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bell Gardens Family Medical CenterBell Gardens, CA, CCN 551184 Federally qualified health center Operational/Managerial Control (100%) Jul 9, 2009
Commerce Family Medical CenterCommerce, CA, CCN 751873 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2016
Fhccgla School Based Health CenterBell Gardens, CA, CCN 921066 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1790051423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600",
            "fax_number": "562-927-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12113 WOODRUFF AVE",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-231-5600",
            "fax_number": "562-803-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21409 Elaine Ave",
            "address_purpose": "LOCATION",
            "city": "Hawaiian Gardens",
            "state": "CA",
            "postal_code": "907161025",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22310 Wardham Ave",
            "address_purpose": "LOCATION",
            "city": "Hawaiian Gardens",
            "state": "CA",
            "postal_code": "907161740",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC",
        "enumeration_date": "2012-03-27",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-928-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHCCGLA Downey Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FHCCGLA FEDDE School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawaiian Gardens Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.