Venice Family Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

A34595 Issued in CA

Legal business name

VENICE FAMILY CLINIC

Practice address

604 Rose Ave
Venice, CA 90291-2767

Phone

(310) 392-8636

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Theresa M Arce

Title

Billing Manager

Phone

(310) 664-7828

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jose Quiroga, M.D.

  • Internal Medicine Physician
  • Venice, CA
  • NPI 1477824449
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1932479243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19756 GILMORE ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672808",
            "telephone_number": "818-943-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 ROSE AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912767",
            "telephone_number": "310-392-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "ARCE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-664-7828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "A34595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venice Family Clinic
• Venice Family Clinic
• Venice Family Clinic
• Venice Family Clinic
• Venice Family Clinic (Venice Family)
• Venice Family Clinic
• Venice Training Systems Physical Therapy Corporation
• James Daryl Simeon Viado, RN, MSN, PMHNP-BC
• Angeline Vibar
• Katherine Vigna

• Federally Qualified Health Center (FQHC) in Venice, CA
• Providers in Venice, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.