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VENICE FAMILY CLINIC
NPI 1154187748
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since February 22, 2024
622 ROSE AVE, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Venice Family Clinic NPPES

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

VENICE FAMILY CLINIC (NPI 1154187748) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since February 2024. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154187748
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address622 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 392-8636
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1154187748 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
622 ROSE AVE, Venice, CA 90291
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Other Names 1

Other NameVenice Family Clinic Mobile Clinic #3

Other Providers at the Same Location NPPES 3

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

VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
622 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7941
JOANNA ISABEL BURGA
Social Worker (Clinical)
622 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
622 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636

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 1154187748. It was assigned to this organization in the NPPES registry on February 22, 2024. The provider is also known as Venice Family Clinic Mobile Clinic #3.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 622 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

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 February 22, 2024. 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.