Organization Active NPI

Unimed Community Health Center

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1871294785
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIMED COMMUNITY HEALTH CENTER
Practice address
4065 Whittier Blvd Ste 100
Los Angeles, CA 90023-2557
Phone
(323) 968-1170
Fax
(323) 968-1175
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Ambrose Fuerte
Title
O.M
Phone
(323) 968-1170

Specialties & licenses 1

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

Addresses

Primary practice location

4065 Whittier Blvd Ste 100
Los Angeles, CA 90023-2557

Mailing address

4065 Whittier Blvd Ste 100
Los Angeles, CA 90023-2557
Phone (323) 968-1170

National Provider Directory

National Provider Directory

Locations

4065 Whittier Blvd
Ste 100
Los Angeles, CA 90023
Phone (323) 261-4641

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1871294785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232557",
            "telephone_number": "323-968-1170",
            "fax_number": "323-968-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232557",
            "telephone_number": "323-968-1170",
            "fax_number": "323-968-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMED COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "FUERTE",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "O.M",
        "authorized_official_telephone_number": "323-968-1170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Mar 16, 2023; 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.