NPIMap

Organization Active NPI

Multiservice Family Center, Inc.

  • Community Health Clinic/Center
  • Inglewood, CA
National Provider Identifier
1891811170
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
960000228 Issued in CA
Legal business name
MULTISERVICE FAMILY CENTER, INC.
Practice address
101 N la Brea Ave
Suite 301
Inglewood, CA 90301-1769
Phone
(310) 412-0202
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Evelyn S ClarkNPI 1366569436
Title
President Ceo
Phone
(310) 412-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 960000228 CA Primary

Addresses

Primary practice location

101 N la Brea Ave
Suite 301
Inglewood, CA 90301-1769

Mailing address

101 N la Brea Ave
Suite 301
Inglewood, CA 90301-1769
Phone (310) 412-0202

Other identifiers 1

IdentifierTypeStateIssuer
CMM70110FMedicaidCA

National Provider Directory

National Provider Directory

Locations

101 N La Brea Ave
Ste 301
Inglewood, CA 90301
Phone (310) 412-0202

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1891811170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N LA BREA AVE",
            "address_2": "SUITE 301",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011769",
            "telephone_number": "310-412-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LA BREA AVE",
            "address_2": "SUITE 301",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011769",
            "telephone_number": "310-412-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISERVICE FAMILY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "310-412-0202",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "960000228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70110F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.