Organization Active NPI

Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Rowland Heights, CA
National Provider Identifier
1982334579
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FRIENDS OF FAMILY HEALTH CENTER
Practice address
1788 Sierra Leone Ave Ste 105&106
Rowland Heights, CA 91748-5886
Phone
(626) 965-0150
Fax
(562) 690-3182
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Nicolis Arias
Title
Credentialing
Phone
(562) 690-0400

Specialties & licenses 1

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

Addresses

Primary practice location

1788 Sierra Leone Ave Ste 105&106
Rowland Heights, CA 91748-5886

Mailing address

501 S Idaho St Ste 100
La Habra, CA 90631-6047
Phone (562) 690-0400

Other identifiers 1

IdentifierTypeStateIssuer
FHCX10068MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000139 CA Part B Supplier - Clinic/Group Practice 7315120730 Receives reassigned benefits from 18 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Habra, CA; Whittier, CA; Tustin, CA; Ontario, CA; La Puente, CA; Pico Rivera, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1788 Sierra Leone Ave
Ste 105106
Rowland Heights, CA 91748
Phone (626) 965-0150

Practitioners & affiliated clinicians

Practitioners 3

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1982334579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S IDAHO ST STE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316047",
            "telephone_number": "562-690-0400",
            "fax_number": "562-690-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 SIERRA LEONE AVE STE 105&106",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485886",
            "telephone_number": "626-965-0150",
            "fax_number": "562-690-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "NICOLIS",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "562-690-0400"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHCX10068",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.