EISNER HEALTH STUDENT AND FAMILY WELLNESS CENTER
NPI 1225687197
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Q: What is Pediatric And Family Medical Center's NPI number?

The NPI number for Pediatric And Family Medical Center is 1225687197. It was assigned to this organization in the NPPES registry on September 4, 2019. The provider is doing business as Eisner Health Student And Family Wellness Center.

Q: What is Pediatric And Family Medical Center's specialty?

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

Active since September 04, 2019CLIA 05D2183356 · Waiver

1921 MAPLE AVE, LOS ANGELES, CA 90011(213) 747-5542(213) 342-3408 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2024, Sep 10, 2019, Sep 4, 2019 (3 updates tracked since 2019).

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About Eisner Health Student And Family Wellness Center NPPES

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

EISNER HEALTH STUDENT AND FAMILY WELLNESS CENTER (NPI 1225687197) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Monica Mccarthy, Sr Vp, Coo & Interim-ceo, as its authorized official.

NPPES Registry Identity

NPI1225687197

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePEDIATRIC AND FAMILY MEDICAL CENTER

Location Address1921 MAPLE AVELos Angeles, CA 90011-1036

Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 747-5542 · Fax (213) 342-3408

Phone(213) 747-5542

Fax(213) 342-3408

Organization SubpartYes

Authorized OfficialMonica MccarthySr Vp, Coo & Interim-ceo · (213) 746-1037

Enumeration DateSeptember 4, 2019

Last NPPES UpdateApril 18, 20243 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1225687197 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

1921 MAPLE AVE, Los Angeles, CA 90011

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Other Names 1

Doing Business AsEisner Health Student And Family Wellness 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 05D2183356

Eisner Health Student And Family Wellness · Los Angeles, CA

Active · expires May 3, 2028

CLIA Number05D2183356

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorDeborah A. Lerner

Laboratory Phone(213) 588-0352

Laboratory LocationEisner Health Student And Family Wellness1921 Maple Ave Rm 1-129, Los Angeles, CA 90011

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TOTAL FAMILY SUPPORT CLINIC

Case Management

1921 MAPLE AVE
LOS ANGELES, CA 90011

Los Angeles County (213) 763-1030

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 Pediatric And Family Medical Center's NPI number?

The NPI number for Pediatric And Family Medical Center is 1225687197. It was assigned to this organization in the NPPES registry on September 4, 2019. The provider is doing business as Eisner Health Student And Family Wellness Center.

Where is Pediatric And Family Medical Center located?

Pediatric And Family Medical Center is located at 1921 Maple Ave, Los Angeles, CA 90011. The listed phone number is (213) 747-5542.

What is Pediatric And Family Medical 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 Pediatric And Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2183356) is associated with this NPI, valid through May 3, 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 Pediatric And Family Medical Center was last updated on April 18, 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.