NPIMap

Organization Active NPI

Los Angeles Christian Health Centers

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1992269757
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Practice address
325 E 7TH St
Los Angeles, CA 90014-2209
Phone
(213) 893-1960
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Erica Dubose
Title
Revenue Cycle Manager
Phone
(562) 338-4774

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Supports Brokerage Agency 251X00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

325 E 7TH St
Los Angeles, CA 90014-2209

Mailing address

315 W 9TH St
Ste 950
Los Angeles, CA 90015-4213
Phone (213) 893-1960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230627003081 CA Part A Provider - Federally Qualified Health Center (FQHC) 8224114210 Practice locations: Los Angeles, CA

Federally qualified health center certification: CCN A01164

Legal name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Doing business as
JOSHUA HOUSE HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 27, 2023
Last certification
Jun 27, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
325 E 7TH St
Los Angeles, CA 90014-2209

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0966378Los Angeles Christian Health Centers325 E 7TH St, Los Angeles, CA 90014Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Christian Health Centers14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1920 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4462

202 W 1st St
#40435
Los Angeles, CA 90012

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Stacy Bolden-Bowers Individual Corporate DirectorBoard Chair Aug 1, 2017
Wayne T Aoki Individual Corporate DirectorBoard Member Oct 1, 2019
Troy Vaughn Individual Corporate DirectorBoard Member Dec 1, 2022
Erica Dubose Individual W-2 Managing EmployeeRevenue Cycle Manager Sep 17, 2019
Kathryn C White Individual Corporate OfficerCmo Aug 17, 2009
W-2 Managing EmployeeCmo Aug 17, 2009
Terrye Finley Individual Corporate DirectorBoard Member Apr 1, 2012
Kim Mealy Individual Corporate DirectorBoard Member Aug 1, 2020
John J Hong Individual Corporate DirectorBoard Member Jan 1, 2007
Kendell Simmons Individual Corporate DirectorBoard Member Dec 1, 2020
Kenneth Towler Individual Corporate DirectorBoard Member Mar 1, 2022
Bettina Hubbard-Lewis Individual 5% Or Greater Direct Ownership InterestCeo Sep 15, 2022
Corporate OfficerCeo Sep 15, 2022 100%
W-2 Managing EmployeeCoo Jul 1, 2015 100%
Operational/Managerial ControlCeo Sep 15, 2022 100%
Edward Seungse Lee Individual Corporate DirectorBoard Member Nov 1, 2004
Stephen Kennedy Individual Corporate OfficerCfo Aug 1, 2019
W-2 Managing EmployeeCfo Aug 1, 2019

Owners & managing parties with NPI records 3

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1992269757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 9TH ST",
            "address_2": "STE 950",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154213",
            "telephone_number": "213-893-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900142209",
            "telephone_number": "213-893-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CHRISTIAN HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "562-338-4774"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.