ROBERT LEVINE FAMILY HEALTH CENTER
NPI 1124054564
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since June 25, 2006
905 VENICE BLVD, VENICE, CA 90291(310) 392-8638 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2023, Sep 29, 2021, Apr 19, 2021 and 3 more (6 updates tracked since 2016).

About Robert Levine Family Health Center NPPES

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

ROBERT LEVINE FAMILY HEALTH CENTER (NPI 1124054564) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since June 2006. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124054564
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address905 VENICE BLVDVenice, CA 90291-4904
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJune 25, 2006
Last NPPES UpdateSeptember 7, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1124054564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 960000959 (CA)
905 VENICE BLVD, Venice, CA 90291

Other Names 1

Other NameRobert Levine Family Health Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Levine Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

143

Medicare enrollment records show 143 clinicians reassign Medicare billing to Robert Levine Family Health Center, which bills Medicare for the services they deliver. Of these, 100 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Family Practice33
Clinical Social Worker24
Internal Medicine23
Nurse Practitioner23
Pediatric Medicine19
Psychiatry5
Marriage and Family Therapist4
Dentist2
8 other specialties10

Nearest to this location (20)

See all 143
Nurse Practitioner
NPI 1427555218
905 VENICE BLVD
Venice, CA 90291
(310) 392-8636
✔ PECOS0.1 mi
Family Practice
NPI 1922584226
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Social Worker
NPI 1205133428
604 ROSE AVE
Venice, CA 90291
(310) 664-7597
✔ PECOS1.0 mi
Clinical Social Worker
NPI 1942312970
604 ROSE AVE
Venice, CA 90291
(310) 664-7522
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1982895371
604 ROSE AVE
Venice, CA 90291
(310) 664-7685
✔ PECOS1.0 mi
Psychiatry
NPI 1588655047
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1770014086
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Pediatric Medicine
NPI 1326308495
604 ROSE AVE
Venice, CA 90291
(323) 383-5322
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1144301177
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1215038856
604 ROSSE AVE.
Venice, CA 90291
(310) 392-8630
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1407967763
604 ROSE AVE
Venice, CA 90291
(310) 392-8630
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1265808547
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Psychiatry
NPI 1083125207
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1033278841
604 ROSE AVE
Venice, CA 90291
(310) 392-8630
✔ PECOS1.0 mi
Pediatric Medicine
NPI 1992021810
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS1.0 mi
Internal Medicine
NPI 1992027072
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Rheumatology
NPI 1356412266
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Infectious Disease
NPI 1972614493
604 ROSE AVE
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1548371172
604 ROSE AVE
Venice, CA 90291
(310) 392-8630
✔ PECOS✔ Accepts Medicare1.0 mi
Optometry
NPI 1821069311
604 ROSE AVE VENICE FAMILY CLINIC/OPTOMETRY DEPT.
Venice, CA 90291
(310) 392-8636
✔ PECOS✔ Accepts Medicare1.0 mi
See all 143 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1124054564. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider is also known as Robert Levine Family Health Center.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 905 Venice Blvd, Venice, CA 90291. The listed phone number is (310) 392-8638.

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.

Is Venice Family Clinic enrolled in Medicare?

Yes. Venice Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Venice Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 143 clinicians in 16 Medicare specialties reassign their Medicare billing to Venice Family Clinic. 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 Family Practice (33), Clinical Social Worker (24) and Internal Medicine (23). Of these, 100 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Venice Family Clinic was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.