ST. JOHNS COMMUNITY HEALTH
NPI 1003068206
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About St. Johns Community Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOHNS COMMUNITY HEALTH (NPI 1003068206), doing business as St. John's Well Child And Family Center, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists James Mangia, President, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Johns Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
402Medicare enrollment records show 402 clinicians reassign Medicare billing to St. Johns Community Health, which bills Medicare for the services they deliver. Of these, 207 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 402Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1014132
St John's Community Health - Magnolia · Los Angeles, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is St. Johns Community Health's NPI number?
The NPI number for St. Johns Community Health is 1003068206. It was assigned to this organization in the NPPES registry on October 21, 2008. The provider was formerly known as St. John's Well Child And Family Center, Inc..
Where is St. Johns Community Health located?
St. Johns Community Health is located at 6505 8th Ave, Los Angeles, CA 90043. The listed phone number is (323) 541-1600.
What is St. Johns Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is St. Johns Community Health enrolled in Medicare?
Yes. St. Johns Community Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Johns Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 402 clinicians in 17 Medicare specialties reassign their Medicare billing to St. Johns Community Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (185), Family Practice (61) and Dentist (36). Of these, 207 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Johns Community Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1014132) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for St. Johns Community Health was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St. Johns Community Health · NPI 1003068206
Federally Qualified Health Center (FQHC) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1003068206 (Entity type: Organization)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** James Mangia, PRESIDENT, CEO
## Practice location
- **Address:** 6505 8TH AVE, Los Angeles, CA 90043-4313
- **Phone:** (323) 541-1600 · **Fax:** (323) 541-1665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 402 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (185), Family Practice (61), Dentist (36); 207 practice within 10 miles; [full list](https://npiprofile.com/npi/1003068206/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2024
- **Other identifiers:** Medicaid 1003068206 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003068206) · Data from the CMS NPPES public registry.