BRIDGE HOME
NPI 1083293948
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since April 06, 2021
100 SUNSET AVE, VENICE, CA 90291(310) 392-8630 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Sep 29, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Bridge Home NPPES

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

BRIDGE HOME (NPI 1083293948) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since April 2021. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1083293948
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address100 SUNSET AVEVenice, CA 90291-2517
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8630
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 11, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
NPI 1083293948 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
100 SUNSET AVE, Venice, CA 90291

Other Names 1

Other NameBridge Home

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
100 SUNSET AVE
VENICE, CA 90291

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 1083293948. It was assigned to this organization in the NPPES registry on April 6, 2021. The provider is also known as Bridge Home.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 100 Sunset Ave, Venice, CA 90291. The listed phone number is (310) 392-8630.

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.

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 2 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.