ARROYO VISTA FAMILY HEALTH CENTER
NPI 1174665905
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since February 12, 2007CLIA Certified · 3 labs
2411 N. BROADWAY, LOS ANGELES, CA 90031(323) 987-2000(323) 987-1448 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arroyo Vista Family Health Center NPPES

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

ARROYO VISTA FAMILY HEALTH CENTER (NPI 1174665905) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Lorraine Estradas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174665905
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameARROYO VISTA FAMILY HEALTH FOUNDATION
Location Address2411 N. BROADWAYLos Angeles, CA 90031-2218
Mailing Address6000 North Figueroa StreetLos Angeles, CA 90042-4232 · (323) 543-2531 · Fax (323) 254-9026
Fax(323) 987-1448
Organization SubpartNo
Authorized OfficialLorraine EstradasCeo · (323) 254-5291
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1174665905 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2411 N. BROADWAY, Los Angeles, CA 90031

Other Names 1

Doing Business AsArroyo Vista Family Health Center

Other Identifiers 1

MedicaidFHC71098FCA

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1007410

Arroyo Vista Family Health Center Mobile Clinic II · Los Angeles, CA
Active · expires Dec 16, 2026
CLIA Number05D1007410
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorThuy Q. Pham MD
Laboratory Phone(323) 254-5291
Laboratory LocationArroyo Vista Family Health Center Mobile Clinic II6000 N Figueroa Street, Los Angeles, CA 90042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0543945

Arroyo Vista Fmly Health · Los Angeles, CA
Active · expires Jun 29, 2027
CLIA Number05D0543945
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorThuy Pham MD
Laboratory Phone(323) 254-5291
Laboratory LocationArroyo Vista Fmly Health6000 N Figueroa Street, Los Angeles, CA 90042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0987844

Arroyo Vista Family Health Center · Los Angeles, CA
Active · expires Jun 13, 2027
CLIA Number05D0987844
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorThuy Q. Pham MD
Laboratory Phone(323) 254-5291
Laboratory LocationArroyo Vista Family Health Center4815 Valley Blvd Unit C & D, Los Angeles, CA 90032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Arroyo Vista Family Health Foundation's NPI number?

The NPI number for Arroyo Vista Family Health Foundation is 1174665905. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Arroyo Vista Family Health Center.

Where is Arroyo Vista Family Health Foundation located?

Arroyo Vista Family Health Foundation is located at 2411 N. Broadway, Los Angeles, CA 90031. The listed phone number is (323) 987-2000.

What is Arroyo Vista Family Health Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Arroyo Vista Family Health Foundation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Arroyo Vista Family Health Foundation was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.