NPIMap

Organization Active NPI

South Central Family Health Center

  • Clinic Pharmacy
  • Los Angeles, CA
National Provider Identifier
1851847982
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY 53347 Issued in CA
Legal business name
SOUTH CENTRAL FAMILY HEALTH CENTER
Practice address
1109 E Vernon Ave
Los Angeles, CA 90011-3718
Phone
(323) 908-4200
NPI assigned
Aug 29, 2016
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL FAMILY HEALTH CENTER PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mr. Richard Veloz
Title
Chief Executive Officer
Phone
(323) 908-4247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 53347 CA
Clinic Pharmacy 3336C0002X PHY 53347 CA Primary

Addresses

Primary practice location

1109 E Vernon Ave
Los Angeles, CA 90011-3718

Mailing address

1109 E Vernon Ave
Los Angeles, CA 90011-3718
Phone (323) 908-4200

National Provider Directory

National Provider Directory
Tax ID family
South Central Family Health Center8 organizations share this tax ID, including this one
Part of
South Central Family Health Center

Other organizations with this tax ID 7

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

Locations

1109 E Vernon Ave
Los Angeles, CA 90011

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1851847982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 E VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113718",
            "telephone_number": "323-908-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113718",
            "telephone_number": "323-908-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL FAMILY HEALTH CENTER PHARMACY",
        "enumeration_date": "2016-08-29",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "VELOZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-908-4247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 53347",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHY 53347",
            "primary": true
        }
    ],
    "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 Feb 15, 2017; 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.