1. Home
  2. Directory
  3. California
  4. Gardena
  5. Nurse Practitioner
  6. NPI Profile

JMK COMMUNITY HEALTH CENTER, INC
NPI 1083155824
Nurse Practitioner - Family in Gardena, CA

Active since March 13, 2017
14111 VAN NESS AVE, SUITE 5, GARDENA, CA 90249(424) 396-3412(424) 396-3427 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2019, Mar 13, 2017 (2 updates tracked since 2017).

About Jmk Community Health Center, Inc NPPES

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

JMK COMMUNITY HEALTH CENTER, INC (NPI 1083155824) is a healthcare organization registered as a family in Gardena, California and active in the NPI registry since March 2017. The organization lists Jeanette Monique Kidd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083155824
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJMK COMMUNITY HEALTH CENTER, INC
Location Address14111 VAN NESS AVE, SUITE 5Gardena, CA 90249-2950
Mailing Address1112 N Santa Fe AveCompton, CA 90221-1427 · (310) 638-1100 · Fax (424) 396-3427
Phone(424) 396-3412
Fax(424) 396-3427
Organization SubpartNo
Authorized OfficialJeanette Monique KiddCeo · (424) 396-3412
Enumeration DateMarch 13, 2017
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
✔ NPI 1083155824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
14111 VAN NESS AVE, Gardena, CA 90249
Open in Google Maps ↗

Other Identifiers 1

Medicaid1144584806CA

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 2

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

DIANA ZAGALSKAYA MD A PROFESSIONAL CORP
Pediatrics
14111 VAN NESS AVE
GARDENA, CA 90249
Los Angeles County (323) 449-4052
DR. DIANA ZAGALSKAYA M.D.
Pediatrics
14111 VAN NESS AVE
GARDENA, CA 90249
Los Angeles County (310) 329-2121

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 Jmk Community Health Center, Inc's NPI number?

The NPI number for Jmk Community Health Center, Inc is 1083155824. It was assigned to this organization in the NPPES registry on March 13, 2017.

Where is Jmk Community Health Center, Inc located?

Jmk Community Health Center, Inc is located at 14111 Van Ness Ave Suite 5, Gardena, CA 90249. The listed phone number is (424) 396-3412.

What is Jmk Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jmk Community Health Center, Inc was last updated on November 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.