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ROBERT LEVINE FAMILY HEALTH CENTER CDP
NPI 1275792020
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since June 06, 2008
905 VENICE BLVD, 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 Robert Levine Family Health Center Cdp NPPES

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

ROBERT LEVINE FAMILY HEALTH CENTER CDP (NPI 1275792020) 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

NPI1275792020
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address905 VENICE BLVDVenice, CA 90291-4904
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 392-8630
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJune 6, 2008
Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1275792020 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 960000959 (CA)
905 VENICE BLVD, Venice, CA 90291
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Other Names 1

Other NameRobert Levine Family Health Center Cdp

Other Providers at the Same Location NPPES 4

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

SAMANTHA MOHAMMAD MD
Family Medicine
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8638
FANTA MICHELLE BAYOH MSN, APRN, FNP-C
Nurse Practitioner (Family)
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Los Angeles County (310) 392-8630

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 1275792020. It was assigned to this organization in the NPPES registry on June 6, 2008. The provider is also known as Robert Levine Family Health Center Cdp.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 905 Venice Blvd, 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.