NPIMap

Organization Active NPI

Via Care Community Health Center-Elac Student Health Center

  • Federally Qualified Health Center (FQHC)
  • Monterey Park, CA
National Provider Identifier
1952942500
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VIA CARE COMMUNITY HEALTH CENTER-ELAC STUDENT HEALTH CENTER
Practice address
1301 Avenida Cesar Chavez
F5-302
Monterey Park, CA 91754-6099
Phone
(323) 268-9191
NPI assigned
Oct 4, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Vanessa Fuentes
Title
Billing Manager
Phone
(323) 268-9191

National Provider Directory

National Provider Directory
Tax ID family
Via Care Community Health Center-Elac Student Health Center25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

1301 Avenida Cesar Chavez
#F5302
Monterey Park, CA 91754

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

1301 Avenida Cesar Chavez
F5-302
Monterey Park, CA 91754-6099

Mailing address

501 S Atlantic Blvd
Los Angeles, CA 90022-2621
Phone (323) 268-9191

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
FQHCOtherFQHC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2020.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1952942500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S ATLANTIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222621",
            "telephone_number": "323-268-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 AVENIDA CESAR CHAVEZ",
            "address_2": "F5-302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546099",
            "telephone_number": "323-268-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CARE COMMUNITY HEALTH CENTER-ELAC STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "323-268-9191"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC",
            "identifier": "FQHC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.