FOUNTAIN OF LIFE CENTRE
NPI 1083162630
Case Manager/Care Coordinator in San Pedro, CA

Q: What is Fountain Of Life Centre's NPI number?

The NPI number for Fountain Of Life Centre is 1083162630. It was assigned to this organization in the NPPES registry on September 13, 2016. The provider is also known as North End Spinal Treatment.

Q: What is Fountain Of Life Centre's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since September 13, 2016

350 W 5TH STREET, SUITE 105 1/2, SAN PEDRO, CA 90731(310) 940-1259(424) 477-5398 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Sep 13, 2016 (2 updates tracked since 2016).

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About Fountain Of Life Centre NPPES

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

FOUNTAIN OF LIFE CENTRE (NPI 1083162630) is a healthcare organization registered as a case manager/care coordinator in San Pedro, California and active in the NPI registry since September 2016. The organization lists Linda S Tweten, General Manager, as its authorized official.

NPPES Registry Identity

NPI1083162630

Entity TypeOrganization

Primary Taxonomy171M00000X

Legal Business NameFOUNTAIN OF LIFE CENTRE

Location Address350 W 5TH STREET, SUITE 105 1/2San Pedro, CA 90731-2751

Mailing Address4733 Torrance Blvd, Pmb #464Torrance, CA 90503-4100 · (310) 940-1259 · Fax (424) 477-5398

Phone(310) 940-1259

Fax(424) 477-5398

Organization SubpartNo

Authorized OfficialLinda S TwetenGeneral Manager · (310) 940-1259

Enumeration DateSeptember 13, 2016

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1083162630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in CA · 193200000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

350 W 5TH STREET, San Pedro, CA 90731

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Other Names 1

Other NameNorth End Spinal Treatment

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

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 Fountain Of Life Centre's NPI number?

The NPI number for Fountain Of Life Centre is 1083162630. It was assigned to this organization in the NPPES registry on September 13, 2016. The provider is also known as North End Spinal Treatment.

Where is Fountain Of Life Centre located?

Fountain Of Life Centre is located at 350 W 5th Street Suite 105 1/2, San Pedro, CA 90731. The listed phone number is (310) 940-1259.

What is Fountain Of Life Centre's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Fountain Of Life Centre was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.