1. Home
  2. Directory
  3. California
  4. Venice
  5. Clinic Center
  6. NPI Profile

VENICE FAMILY CLINIC - FPACT
NPI 1184885972
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since June 24, 2008
604 ROSE AVE, VENICE, CA 90291(310) 392-8630 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Apr 19, 2021 (2 updates tracked since 2021).

About Venice Family Clinic - Fpact NPPES

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

VENICE FAMILY CLINIC - FPACT (NPI 1184885972) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since June 2008. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1184885972
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8630
Phone(310) 392-8630
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJune 24, 2008
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1184885972 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 960000169 (CA)
604 ROSE AVE, Venice, CA 90291
Open in Google Maps ↗

Other Names 1

Other NameVenice Family Clinic - Fpact

Other Providers at the Same Location NPPES 20

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

BEVERLY ANN KARPMAN M.D.
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ALEXANDER PAPPAS MD
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MICHAEL ALAN DONATH
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
DR. MITESH G POPAT MD
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MIRIAM C PADILLA M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7600
MERRIES N. THOMPSON-MARVEL DMD
Dentist
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
SUSAN MOJDEH PARTOVI M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ELISABETH HELEN CEDERBLOM FNP
Nurse Practitioner (Family)
604 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 1184885972. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is also known as Venice Family Clinic - Fpact.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8630.

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 September 11, 2023. 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.