NPIMap

Organization Active NPI

Dignity Health

Doing business as California Family Care Med Group, Women's Health

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1811051196
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
960001422 Issued in CA
Legal business name
DIGNITY HEALTH
Doing business as
California Family Care Med Group, Women's Health
Practice address
1400 S Grand Ave
Suite 801
Los Angeles, CA 90015-3048
Phone
(213) 742-6200
Fax
(213) 765-4167
NPI assigned
Dec 20, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Robert Allen
Title
Chief Financial Officer
Phone
(213) 742-5910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 960001422 CA Primary

Addresses

Primary practice location

1400 S Grand Ave
Suite 801
Los Angeles, CA 90015-3048

Mailing address

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5910

Other identifiers 2

IdentifierTypeStateIssuer
954310407OtherCAIRS
CMM71025FMedicaidCA

Other names 1

  • California Family Care Med Group, Women's Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1811051196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153010",
            "telephone_number": "213-742-5910",
            "fax_number": "213-765-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-742-6200",
            "fax_number": "213-765-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "213-742-5910"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960001422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "954310407",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71025F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Family Care Med Group, Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2013; 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.