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WHITE MEMORIAL COMMUNITY HEALTH CENTER
NPI 1083003321
Pediatrics in Los Angeles, CA

Active since January 09, 2015CLIA 05D2127751 · Waiver
1828 E CESAR E CHAVEZ AVE STE 5000, LOS ANGELES, CA 90033(323) 987-1200(323) 987-1212 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Dec 14, 2023, Feb 5, 2020 and 3 more (6 updates tracked since 2017).

About White Memorial Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE MEMORIAL COMMUNITY HEALTH CENTER (NPI 1083003321) is a healthcare organization registered as a pediatrics in Los Angeles, California and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Grace Floutsis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083003321
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWHITE MEMORIAL COMMUNITY HEALTH CENTER
Location Address1828 E CESAR E CHAVEZ AVE STE 5000Los Angeles, CA 90033
Mailing Address1828 E Cesar E Chavez Ave Ste 6100Los Angeles, CA 90033-2597
Phone(323) 987-1200
Fax(323) 987-1212
Organization SubpartNo
Authorized OfficialGrace FloutsisCeo · (323) 859-3627
Enumeration DateJanuary 9, 2015
Last NPPES UpdateApril 13, 20266 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1083003321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentistTaxonomy 122300000X · License 550003845 (CA)
Also ListedFamily MedicineTaxonomy 207Q00000X
1828 E CESAR E CHAVEZ AVE STE 5000, Los Angeles, CA 90033
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

White Memorial Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to White Memorial Community Health Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Pediatric Medicine10
Clinical Social Worker8
Nurse Practitioner8
Family Practice3
Internal Medicine1
Obstetrics/Gynecology1
Psychiatry1

Nearest to this location (20)

See all 32
Ann Berdugo, NP
Nurse Practitioner
NPI 1336694512
1828 E CESAR E CHAVEZ AVE STE 5000
Los Angeles, CA 90033
(323) 987-1200
✔ PECOSSame address
Viviana Cruz-Garcia, LCSW
Clinical Social Worker
NPI 1639985930
1828 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
(323) 859-3634
✔ PECOSSame address
Anita Dave, DNP, CPNP-PC
Nurse Practitioner
NPI 1730591009
1828 E CESAR E CHAVEZ AVE STE 5000
Los Angeles, CA 90033
(323) 987-1200
✔ PECOSSame address
Jovanny Garcia, LCSW
Clinical Social Worker
NPI 1851874796
1828 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
(323) 793-9562
✔ PECOSSame address
Lisa Gutierrez, NP
Nurse Practitioner
NPI 1437585718
1828 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
(323) 987-1200
✔ PECOSSame address
Neha Reddy, DO
Pediatric Medicine
NPI 1598341174
1828 E CESAR E CHAVEZ AVE STE 5000
Los Angeles, CA 90033
(323) 987-1200
✔ PECOSSame address
Maria Salazar, LCSW
Clinical Social Worker
NPI 1932690930
1828 E CESAR E CHAVEZ AVE STE 5000
Los Angeles, CA 90033
(323) 987-1200
✔ PECOSSame address
Natalia Valles, NP
Nurse Practitioner
NPI 1679448484
1828 E CESAR E CHAVEZ AVE STE 6100
Los Angeles, CA 90033
(323) 859-3634
✔ PECOSSame address
Joyce Villalta, LCSW
Clinical Social Worker
NPI 1639737935
1828 E CESAR E CHAVEZ AVE STE 5000
Los Angeles, CA 90033
(323) 859-3642
✔ PECOS✔ Accepts MedicareSame address
Antonio Zamora, M.D.
Pediatric Medicine
NPI 1164451571
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Ivet Hartonian, MD
Pediatric Medicine
NPI 1811158728
1700 E CESAR E CHAVEZ AVE STE 3000
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Arezoo Fozailoff, M.D.
Pediatric Medicine
NPI 1477974111
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Kaossar Al Atassi, M.D.
Pediatric Medicine
NPI 1780020578
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Ernie Guzman, M.D.
Pediatric Medicine
NPI 1811924491
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Alma Munoz, M.D.
Pediatric Medicine
NPI 1972745487
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
George Segura, M.D.
Pediatric Medicine
NPI 1841224631
1701 E CESAR E CHAVEZ AVE SUITE 456
Los Angeles, CA 90033
(323) 987-1200
✔ PECOS0.1 mi
Maria Lopez-Patel, M.D.
Pediatric Medicine
NPI 1689834020
2032 MARENGO ST
Los Angeles, CA 90033
(213) 989-7700
✔ PECOS0.7 mi
Neda Momeni, FNP
Nurse Practitioner
NPI 1386156644
801 S CHEVY CHASE DR
Glendale, CA 91205
(818) 630-2241
✔ PECOS6.0 mi
Norma Bravo
Clinical Social Worker
NPI 1700195682
710 E 111TH PL
Los Angeles, CA 90059
(323) 233-0425
✔ PECOS8.4 mi
Grace Floutsis, MD
Family Practice
NPI 1518053735
1855 N FAIR OAKS AVE SUITE 200
Pasadena, CA 91103
(626) 398-6300
✔ PECOS9.5 mi
See all 32 clinicians

Source: 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 05D2127751

White Memorial Community Health Center · Los Angeles, CA
Active · expires Mar 16, 2027
CLIA Number05D2127751
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGrace Floutsis
Laboratory Phone(323) 987-1200
Laboratory LocationWhite Memorial Community Health Center1701 East Cesar E Chavez Ave Ste 456, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name 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 White Memorial Community Health Center's NPI number?

The NPI number for White Memorial Community Health Center is 1083003321. It was assigned to this organization in the NPPES registry on January 9, 2015.

Where is White Memorial Community Health Center located?

White Memorial Community Health Center is located at 1828 E Cesar E Chavez Ave Ste 5000, Los Angeles, CA 90033. The listed phone number is (323) 987-1200.

What is White Memorial Community Health Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is White Memorial Community Health Center enrolled in Medicare?

Yes. White Memorial Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through White Memorial Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 7 Medicare specialties reassign their Medicare billing to White Memorial Community Health Center. 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 Pediatric Medicine (10), Clinical Social Worker (8) and Nurse Practitioner (8). Of these, 9 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does White Memorial Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2127751) 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 White Memorial Community Health Center was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.