BILL'S CLINIC AT SAFE PLACE FOR YOUTH
NPI 1053854836
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA
About Bill's Clinic At Safe Place For Youth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BILL'S CLINIC AT SAFE PLACE FOR YOUTH (NPI 1053854836) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since November 2016. The organization holds a CLIA Microscopy certificate valid through March 16, 2027 and lists Mitesh G Popat, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 for Provider-Performed Microscopy Procedures (PPMP) 05D2320351
Venice Family Clinic- Torrance Skypark · Torrance, 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 Venice Family Clinic's NPI number?
The NPI number for Venice Family Clinic is 1053854836. It was assigned to this organization in the NPPES registry on November 28, 2016. The provider is also known as Bill's Clinic At Safe Place For Youth.
Where is Venice Family Clinic located?
Venice Family Clinic is located at 2469 Lincoln Blvd, Venice, CA 90291. The listed phone number is (310) 392-8636.
What is Venice Family Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Venice Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2320351) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Venice Family Clinic was last updated on September 11, 2023. 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.
# Bill's Clinic At Safe Place For Youth · NPI 1053854836
Federally Qualified Health Center (FQHC) organization in Venice, California. Organization record, active in the CMS NPPES registry since November 28, 2016.
## Identity
- **NPI:** 1053854836 (Entity type: Organization)
- **Enumerated:** November 28, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Venice Family Clinic
- **Organization subpart:** Yes (part of Venice Family Clinic)
- **Authorized official:** Mitesh Popat, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 2469 LINCOLN BLVD, Venice, CA 90291-5040
- **Phone:** (310) 392-8636
## Record status
- **NPPES last updated:** September 11, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053854836) · Data from the CMS NPPES public registry.