ARROYO VISTA FAMILY HEALTH CENTER
NPI 1316088479
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since February 10, 2007CLIA Certified · 3 labs
4815 VALLEY BLVD, SUITE C, LOS ANGELES, CA 90032(323) 222-1134(323) 221-4506 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arroyo Vista Family Health Center NPPES

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

ARROYO VISTA FAMILY HEALTH CENTER (NPI 1316088479) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since February 2007. The organization holds 3 active CLIA laboratory certificates and lists Lorraine Estradas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316088479
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameARROYO VISTA FAMILY HEALTH FOUNDATION
Location Address4815 VALLEY BLVD, SUITE CLos Angeles, CA 90032-3856
Mailing Address6000 N Figueroa StLos Angeles, CA 90042-4232 · (323) 254-5291 · Fax (323) 254-4618
Fax(323) 221-4506
Organization SubpartNo
Authorized OfficialLorraine EstradasCeo · (323) 254-5291
Enumeration DateFebruary 10, 2007
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1316088479 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
4815 VALLEY BLVD, Los Angeles, CA 90032

Other Names 1

Doing Business AsArroyo Vista Family Health Center

Other Identifiers 1

MedicaidFHC70919FCA

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

CLIA Laboratory Certificates CMS CLIA 3

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 05D1007410

Arroyo Vista Family Health Center Mobile Clinic II · Los Angeles, CA
Active · expires Dec 16, 2026
CLIA Number05D1007410
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorThuy Q. Pham MD
Laboratory Phone(323) 254-5291
Laboratory LocationArroyo Vista Family Health Center Mobile Clinic II6000 N Figueroa Street, Los Angeles, CA 90042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0543945

Arroyo Vista Fmly Health · Los Angeles, CA
Active · expires Jun 29, 2027
CLIA Number05D0543945
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorThuy Pham MD
Laboratory Phone(323) 254-5291
Laboratory LocationArroyo Vista Fmly Health6000 N Figueroa Street, Los Angeles, CA 90042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2014919

Arroyo Vista Family Health Center · Los Angeles, CA
Active · expires Oct 18, 2026
CLIA Number05D2014919
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorThuy Pham
Laboratory Phone(323) 254-5221
Laboratory LocationArroyo Vista Family Health Center4837 Huntington Drive North, Los Angeles, CA 90032
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316088479, enumerated as an "organization" on February 10, 2007.

The provider is located at 4815 VALLEY BLVD SUITE C LOS ANGELES, CA 90032 and the phone number is (323) 222-1134.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.