VIA CARE COMMUNITY HEALTH CENTER-LATTC STUDENT HEALTH CENTER
NPI 1184224156
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since October 29, 2020CLIA 05D0972192 · Waiver
400 WEST WASHINGTON BLVD., THE HUB D3-ROOM 107, LOS ANGELES, CA 90015(323) 268-9191 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Via Care Community Health Center-lattc Student Health Center NPPES

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

VIA CARE COMMUNITY HEALTH CENTER-LATTC STUDENT HEALTH CENTER (NPI 1184224156) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Vanessa Fuentes, Director Of Revenue Cycle Managemen, as its authorized official.

NPPES Registry Identity

NPI1184224156
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVIA CARE COMMUNITY HEALTH CENTER
Location Address400 WEST WASHINGTON BLVD., THE HUB D3-ROOM 107Los Angeles, CA 90015
Mailing Address3601 E 1st StLos Angeles, CA 90063-2325 · (323) 268-9191 · Fax (323) 269-9119
Organization SubpartYes
Authorized OfficialVanessa FuentesDirector Of Revenue Cycle Managemen · (323) 268-9191
Enumeration DateOctober 29, 2020
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1184224156 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
400 WEST WASHINGTON BLVD., Los Angeles, CA 90015

Other Names 1

Other NameVia Care Community Health Center-lattc Student Health Center

CLIA Laboratory Certificates CMS CLIA

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 05D0972192

Via Care Community Health Center · Los Angeles, CA
Active · expires May 29, 2028
CLIA Number05D0972192
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorVictor Ruiz
Laboratory Phone(323) 268-9191
Laboratory LocationVia Care Community Health Center507 S Atlantic Blvd, Los Angeles, CA 90022
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 Via Care Community Health Center's NPI number?

The NPI number for Via Care Community Health Center is 1184224156. It was assigned to this organization in the NPPES registry on October 29, 2020. The provider is also known as Via Care Community Health Center-Lattc Student Health Center.

Where is Via Care Community Health Center located?

Via Care Community Health Center is located at 400 West Washington Blvd. The Hub D3-Room 107, Los Angeles, CA 90015. The listed phone number is (323) 268-9191.

What is Via Care Community Health Center's specialty?

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

Does Via Care Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0972192) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Via Care Community Health Center was last updated on May 31, 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.