De Novo Health Care Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DE NOVO HEALTH CARE INC

Practice address

803 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2145

Phone

(310) 605-4800

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Toni Johnson ChavisNPI 1083728190

Title

Ceo

Phone

(323) 774-6551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 921154

Legal name

DE NOVO HEALTH CARE INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 30, 2019

Last certification

May 30, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 6, 2007 in CA

Enrollment address

803 E Rosecrans Ave
East Rancho Dominguez, CA 90221-2145

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Toni Denise Johnson-Chavis, M.D.

  • Pediatrics Physician
  • Compton, CA
  • NPI 1083728190

  Corporate Director, Corporate Officer

  CMS ownership

Practitioners 5

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

• Asdghig D. Daderian, MD

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1790856698
  Medicare reassignment NPD
• Angelica Delallana, MSN, APRN, FNP

  • Family Medicine Physician
  • East Rancho Dominguez, CA
  • NPI 1033754155
  Medicare reassignment NPD
• Yolanda Z Grell, PA

  • Medical Physician Assistant
  • Compton, CA
  • NPI 1790864478
  Medicare reassignment NPD
• Toni Denise Johnson-Chavis, M.D.

  • Pediatrics Physician
  • Compton, CA
  • NPI 1083728190
  NPD Authorized official
• Steven L Scott, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1174664908
  Medicare reassignment

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1972752368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145",
            "telephone_number": "310-605-4800",
            "fax_number": "310-605-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E ROSECRANS AVE",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902212145",
            "telephone_number": "310-605-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE NOVO HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON CHAVIS",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-774-6551"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseemar Coreas
• Cecilia Cudiamat, PA-C
• Daniel Matemotja, MD Inc (May Family Medical Clinic)
• Jayden Davila, BSN, RN
• Leslie Guadalupe De la Cruz-Trejo
• Angelica Delallana, MSN, APRN, FNP
• Bradlisia Dixon
• Gerardo Espitia
• Larrisa Breanne Gonzales
• Meliza Guillermo Alonzo

• Community/Behavioral Health Agency in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.