NPIMap

Organization Active NPI

St. John's Well Child and Family Center, Inc.

  • Community Health Clinic/Center
  • Compton, CA
National Provider Identifier
1871823534
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Practice address
12338 S Mona Blvd
Compton, CA 90222-1320
Phone
(310) 898-6010
Fax
(310) 638-4935
NPI assigned
Dec 31, 2009
Last updated
Oct 27, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. JOHN'S WELL CHILD AND FAMILY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
James M Mangia
Title
President & Ceo
Phone
(323) 541-1600

Specialties & licenses 1

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

Addresses

Primary practice location

12338 S Mona Blvd
Compton, CA 90222-1320

Mailing address

5701 S Hoover St
Los Angeles, CA 90037-4045
Phone (323) 541-1600

National Provider Directory

National Provider Directory
Tax ID family
St Johns Community Health35 organizations share this tax ID, including this one
Part of
St Johns Community Health

Other organizations with this tax ID 34

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

View all 34

Locations

12338 S Mona Blvd
Compton, CA 90222
Phone (310) 537-2273

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1871823534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900374045",
            "telephone_number": "323-541-1600",
            "fax_number": "323-541-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12338 S MONA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221320",
            "telephone_number": "310-898-6010",
            "fax_number": "310-638-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOHN'S WELL CHILD AND FAMILY CENTER",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "MANGIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-541-1600"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.