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SOUTH BAY FAMILY HEALTHCARE CENTER
NPI 1083962005
Clinic/Center - Federally Qualified Health Center (FQHC) in Redondo Beach, CA

Active since August 23, 2012
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278(310) 318-2521 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bay Family Healthcare Center NPPES

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

SOUTH BAY FAMILY HEALTHCARE CENTER (NPI 1083962005) is a healthcare organization registered as a federally qualified health center (fqhc) in Redondo Beach, California and active in the NPI registry since August 2012. The organization lists Jann Hamilton-lee, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083962005
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTH BAY FAMILY HEALTHCARE CENTER
Location Address2114 ARTESIA BLVDRedondo Beach, CA 90278-3014
Mailing Address2114 Artesia BlvdRedondo Beach, CA 90278-3014
Phone(310) 318-2521
Organization SubpartNo
Authorized OfficialJann Hamilton-leePresident/ceo · (310) 802-6177
Enumeration DateAugust 23, 2012
✔ NPI 1083962005 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
2114 ARTESIA BLVD, Redondo Beach, CA 90278
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Other Identifiers 2

Medicare OSCAR/certification551960CA
MedicaidFHC70843FCA

Other Providers at the Same Location NPPES 11

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

DR. CAMELA JOAN OTT M.D.
Internal Medicine
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
DR. MICHAEL CHIEN YU M.D.
Family Medicine
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
JESSICA CARRILLO
Case Manager/Care Coordinator
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
AZITA SHAHRIARPOUR DO
Dentist (General Practice)
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
ABE RUBEN BERNARDO BAQUIR FNP
Nurse Practitioner (Family)
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 392-8636
SOUTH BAY FAMILY HEALTHCARE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177
NICOLE GENTRY P.A.
Physician Assistant
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Los Angeles County (310) 802-6177

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 South Bay Family Healthcare Center's NPI number?

The NPI number for South Bay Family Healthcare Center is 1083962005. It was assigned to this organization in the NPPES registry on August 23, 2012.

Where is South Bay Family Healthcare Center located?

South Bay Family Healthcare Center is located at 2114 Artesia Blvd, Redondo Beach, CA 90278. The listed phone number is (310) 318-2521.

What is South Bay Family Healthcare Center'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 South Bay Family Healthcare Center was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.