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EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
NPI 1316044522
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since September 20, 2006
1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 746-1037(213) 746-9379 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, Jan 26, 2022, Feb 15, 2017 and 1 more (4 updates tracked since 2017).

About Eisner Pediatric And Family Medical Center NPPES

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

EISNER PEDIATRIC AND FAMILY MEDICAL CENTER (NPI 1316044522) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Monica Mccarthy, Sr Vp, Coo & Interim-ceo, as its authorized official.

NPPES Registry Identity

NPI1316044522
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEDIATRIC AND FAMILY MEDICAL CENTER
Location Address1530 S OLIVE STLos Angeles, CA 90015-3023
Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 746-1037 · Fax (213) 746-9379
Phone(213) 746-1037
Fax(213) 746-9379
Organization SubpartNo
Authorized OfficialMonica MccarthySr Vp, Coo & Interim-ceo · (213) 746-1037
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 18, 20244 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1316044522 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
1530 S OLIVE ST, Los Angeles, CA 90015
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Other Names 1

Doing Business AsEisner Pediatric And Family Medical Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eisner Pediatric And Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20130408000133Part A · Federally Qualified Health Center (FQHC)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

MS. ANA MARISELA MANCILLA
Specialist/Technologist (Speech-Language Assistant)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ROBERT BRODHEAD
Rehabilitation Practitioner
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
CATHERINE LEE JACOBS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
XOCHITL L JACKSON MD
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
TERRY A JORDAN
Social Worker (Clinical)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
DARA NUNN CPNP-AC, FNP-BC
Nurse Practitioner (Pediatrics)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
SANDY SHIEN
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ELIZABETH DIANE JENKINS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037

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 1316044522. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Eisner Pediatric And Family Medical Center.

Where is Pediatric And Family Medical Center located?

Pediatric And Family Medical Center is located at 1530 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 746-1037.

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.

Is Pediatric And Family Medical Center enrolled in Medicare?

Yes. Pediatric And Family Medical Center is registered in the Medicare PECOS enrollment system.

When is Pediatric And Family Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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.