Active NPI
FC Comprehensive Healthcare a Professional Medical Corporation
Doing business as FC Comprehensive Healthcare
- General Practice Physician
- Compton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION
- Doing business as
- FC Comprehensive Healthcare
- Practice address
- 1410 W Alondra Blvd
Compton, CA 90220-3533 - Phone
- (310) 933-8755
- Fax
- (310) 933-8738
- NPI assigned
- Jan 12, 2023
- Last updated
- Jun 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teodulo Bonzon, LCSW
- Title
- Cfo
- Phone
- (818) 846-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1410 W Alondra Blvd
Compton, CA 90220-3533
Mailing address
4525 Eagle Rock Blvd
Los Angeles, CA 90041-3214
Phone (818) 846-4469
Other names 1
- FC Comprehensive Healthcare
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Social Worker
- Glendale, CA
- NPI 1497039192
-
- Cardiovascular Disease Physician
- Compton, CA
- NPI 1396786653
-
- Family Medicine Physician
- Compton, CA
- NPI 1083787907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1861106908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 EAGLE ROCK BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413214",
"telephone_number": "818-846-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 W ALONDRA BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902203533",
"telephone_number": "310-933-8755",
"fax_number": "310-933-8738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC COMPREHENSIVE HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "BONZON",
"authorized_official_first_name": "TEODULO",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "818-846-4469",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FC Comprehensive Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FC Comprehensive Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Compton, CA
- Faison & Faison a Professional Dental Corporation (St Francis Hospital Dental Group)
- Jari Faison, D.D.S.
- Family's Wish LLC
- Marlon Farley, MD
- Brenda Faye Faulkner, PSY.D
- Felicia Chavez Integrative Therapy and Family Solutions Corp
- Daniel Ferguson
- First Love Midwifery
- Elaine M Fletcher-Thompson, PHARM.D
- Abigail Flores
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.