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ST. JOHNS COMMUNITY HEALTH
NPI 1417469495
Clinic/Center - Community Health in Los Angeles, CA

Active since October 30, 2017
4251 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 541-1600(323) 541-1661 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Oct 24, 2022, Feb 18, 2022 and 1 more (4 updates tracked since 2017).

About St. Johns Community Health NPPES

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

ST. JOHNS COMMUNITY HEALTH (NPI 1417469495), doing business as St. John's Well Child And Family Center, Inc., is a healthcare organization registered as a community health in Los Angeles, California and active in the NPI registry since October 2017. The organization lists James Mangia, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1417469495
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameST. JOHNS COMMUNITY HEALTH
Location Address4251 CRENSHAW BLVDLos Angeles, CA 90008-2536
Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 541-1600 · Fax (323) 541-1661
Phone(323) 541-1600
Fax(323) 541-1661
Organization SubpartNo
Authorized OfficialJames MangiaPresident & Ceo · (323) 541-1601
Enumeration DateOctober 30, 2017
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1417469495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedContractorTaxonomy 171W00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
4251 CRENSHAW BLVD, Los Angeles, CA 90008
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Other Names 1

Former Legal Business NameSt. John's Well Child And Family Center, Inc.

Other Identifiers 1

Medicaid1861893844CA

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 the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Johns Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

402

Medicare enrollment records show 402 clinicians reassign Medicare billing to St. Johns Community Health, which bills Medicare for the services they deliver. Of these, 201 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner185
Family Practice61
Dentist36
Clinical Social Worker26
Internal Medicine24
Pediatric Medicine24
Psychiatry10
Obstetrics/Gynecology8
9 other specialties28

Nearest to this location (20)

See all 402
Norberto Tuason
Psychiatry
NPI 1841338555
3850 CRENSHAW BLVD
Los Angeles, CA 90008
(310) 631-8004
✔ PECOS✔ Accepts Medicare0.6 mi
Roberto Cisneros, LCSW
Clinical Social Worker
NPI 1922332899
2357 W. 30TH ST.
Los Angeles, CA 90018
(323) 731-4411
✔ PECOS1.7 mi
Jacqueline Finley
Nurse Practitioner
NPI 1407616816
4859 W SLAUSON AVE STE 168
Los Angeles, CA 90056
(310) 981-3161
✔ PECOS✔ Accepts Medicare2.1 mi
Sara Nejati, FNP-BC
Nurse Practitioner
NPI 1457172223
4085 S VERMONT AVE
Los Angeles, CA 90037
(323) 541-1631
✔ PECOS✔ Accepts Medicare2.5 mi
Paxy Virgen, MSW
Clinical Social Worker
NPI 1710157391
3031 S VERMONT AVE
Los Angeles, CA 90007
(323) 373-2400
✔ PECOS✔ Accepts Medicare2.8 mi
Sawsan Ali
Dentist
NPI 1831996966
5701 S HOOVER ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS3.0 mi
Danielle Basurco, M.D.
Family Practice
NPI 1871893040
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1660
✔ PECOS3.0 mi
Joanna Choi, MD
Pediatric Medicine
NPI 1306169057
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1616
✔ PECOS3.0 mi
Helen Duplessis, M.D.
Pediatric Medicine
NPI 1801004205
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS3.0 mi
Glenn Lopez, M.D., M.P.H.
Family Practice
NPI 1184714040
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS3.0 mi
Aela Paiz, DO
Obstetrics/Gynecology
NPI 1689817892
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS✔ Accepts Medicare3.0 mi
Nancy Forrest Hardy, M.D.
Psychiatry
NPI 1942429717
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS3.0 mi
Victor Constantino, LMFT
Marriage and Family Therapist
NPI 1184166878
808 W 58TH ST
Los Angeles, CA 90037
(213) 321-2380
✔ PECOS3.0 mi
Rene Eapen
Internal Medicine
NPI 1275986127
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS✔ Accepts Medicare3.0 mi
Sydney Hongo, MPH, RD
Registered Dietitian or Nutrition Professional
NPI 1477394633
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ Accepts Medicare3.0 mi
Dahlma Osborne, NURSE MIDWIFE
Certified Nurse Midwife (CNM)
NPI 1134260060
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS3.0 mi
Annarheen Pineda, PH.D.
Clinical Psychologist
NPI 1932368388
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1400
✔ PECOS✔ Accepts Medicare3.0 mi
Marisa Robles, O.D.
Optometry
NPI 1083097059
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1400
✔ PECOS3.0 mi
Cindy Pham, M.D.
Endocrinology
NPI 1720498561
1414 S GRAND AVE STE 456
Los Angeles, CA 90015
(626) 457-6900
✔ PECOS4.5 mi
Benjamin Tehrani, D.P.M.
Podiatry
NPI 1285993451
2514 S. CENTRAL AVENUE
Los Angeles, CA 90011
(323) 843-3668
✔ PECOS✔ Accepts Medicare4.7 mi
See all 402 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St. Johns Community Health's NPI number?

The NPI number for St. Johns Community Health is 1417469495. It was assigned to this organization in the NPPES registry on October 30, 2017. The provider was formerly known as St. John's Well Child And Family Center, Inc..

Where is St. Johns Community Health located?

St. Johns Community Health is located at 4251 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 541-1600.

What is St. Johns Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is St. Johns Community Health enrolled in Medicare?

Yes. St. Johns Community Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Johns Community Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 402 clinicians in 17 Medicare specialties reassign their Medicare billing to St. Johns Community Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (185), Family Practice (61) and Dentist (36). Of these, 201 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. Johns Community Health was last updated on November 9, 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.