ST. JOHNS COMMUNITY HEALTH
NPI 1003068206
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Q: 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..

Q: 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.

Active since October 21, 2008CLIA 05D1014132 · Waiver

6505 8TH AVE, LOS ANGELES, CA 90043(323) 541-1600(323) 541-1665 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Oct 24, 2022, Feb 18, 2022 and 1 more (4 updates tracked since 2017).

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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

NPI1003068206

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameST. JOHNS COMMUNITY HEALTH

Location Address6505 8TH AVELos Angeles, CA 90043-4313

Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 541-1600 · Fax (323) 541-1665

Phone(323) 541-1600

Fax(323) 541-1665

Organization SubpartNo

Authorized OfficialJames MangiaPresident, Ceo · (323) 541-1600

Enumeration DateOctober 21, 2008

Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1003068206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedContractorTaxonomy 171W00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedSupports BrokerageTaxonomy 251X00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

6505 8TH AVE, Los Angeles, CA 90043

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Other Names 1

Former Legal Business NameSt. John's Well Child And Family Center, Inc.

Other Identifiers 1

Medicaid1003068206CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CA

Active · expires Mar 11, 2028

CLIA Number05D1014132

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMarch 12, 2026

Certificate Expiration DateMarch 11, 2028

Laboratory DirectorDr. Sushant Bandarpalle

Laboratory Phone(323) 541-1600

Laboratory LocationSt John's Community Health - Magnolia1910 S Magnolia Ave Ste 101, Los Angeles, CA 90007

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently 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.

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.