ST. JOHNS COMMUNITY HEALTH - NPI 1073653630 - Clinic/Center in Los Angeles, CA

Q: What is St. Johns Community Health's NPI number?

The NPI number for St. Johns Community Health is 1073653630. It was assigned to this organization in the NPPES registry on February 6, 2007. 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.

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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 1073653630), 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 February 2007. The organization lists James J Mangia, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073653630

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameST. JOHNS COMMUNITY HEALTH

Location Address1910 MAGNOLIA AVELos Angeles, CA 90007-1220

Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 541-1660 · Fax (323) 541-1665

Phone(213) 749-0947

Fax(213) 749-7354

Organization SubpartNo

Authorized OfficialJames J MangiaChief Executive Officer · (323) 541-1660

Enumeration DateFebruary 6, 2007

Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1073653630 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 · License 960000214 (CA)

1910 MAGNOLIA AVE, Los Angeles, CA 90007

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Other Names 1

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

Other Identifiers 2

Medicaid1073653630CA

MedicaidFHC 70764FCA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MIKE JAE YOUNG CHANG M.A

Marriage & Family Therapist