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BILL'S CLINIC AT SAFE PLACE FOR YOUTH
NPI 1053854836
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since November 28, 2016CLIA Certified · 3 labs
2469 LINCOLN BLVD, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 29, 2021, Apr 19, 2021, Apr 6, 2021 and 1 more (4 updates tracked since 2017).

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 3 active CLIA laboratory certificates and lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053854836
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address2469 LINCOLN BLVDVenice, CA 90291-5040
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 392-8636
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateNovember 28, 2016
Last NPPES UpdateSeptember 11, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1053854836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2469 LINCOLN BLVD, Venice, CA 90291
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Other Names 1

Other NameBill's Clinic At Safe Place For Youth

CLIA Laboratory Certificates CMS CLIA 3

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 05D2306088

Venice Family Clinic Maxine Waters Health & Dignity Center · Hawthorne, CA
Active · expires Jun 10, 2028
CLIA Number05D2306088
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorMichelle I. Aguilar
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic Maxine Waters Health & Dignity Center11802 York Avenue, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2340231

Venice Family Clinic-Hsd Health And Dignity Center · Hawthorne, CA
Active · expires Mar 12, 2028
CLIA Number05D2340231
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorMichelle Aguilar
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic-Hsd Health And Dignity Center13435 S Yukon Avenue, Hawthorne, CA 90250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2320351

Venice Family Clinic- Torrance Skypark · Torrance, CA
Active · expires Mar 16, 2027
CLIA Number05D2320351
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorCesar L. Barba
Laboratory Phone(310) 392-8636
Laboratory LocationVenice Family Clinic- Torrance Skypark23456 Hawthorne Blvd, Torrance, CA 90505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 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 CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 3 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.