JWCH MEDICAL CLINIC - COVENANT HOUSE CALIFORNIA
NPI 1528515152
Clinic/Center - Community Health in Los Angeles, CA

Q: What is Jwch Institute, Inc's NPI number?

The NPI number for Jwch Institute, Inc is 1528515152. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Jwch Medical Clinic - Covenant House California.

Q: What is Jwch Institute, Inc's specialty?

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

Active since September 01, 2016CLIA 05D1083560 · Microscopy

1325 N WESTERN AVE, LOS ANGELES, CA 90027(323) 461-3131(323) 957-7419 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jwch Medical Clinic - Covenant House California NPPES

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

JWCH MEDICAL CLINIC - COVENANT HOUSE CALIFORNIA (NPI 1528515152) is a healthcare organization registered as a community health in Los Angeles, California and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through May 4, 2028 and lists Alvaro P. Ballesteros, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1528515152

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameJWCH INSTITUTE, INC

Location Address1325 N WESTERN AVELos Angeles, CA 90027-5615

Mailing Address5650 Jillson StreetCommerce, CA 90040-1482 · (323) 201-4516 · Fax (323) 215-0170

Phone(323) 461-3131

Fax(323) 957-7419

Organization SubpartNo

Authorized OfficialAlvaro P. BallesterosChief Executive Officer · (323) 201-4516

Enumeration DateSeptember 1, 2016

✔ NPI 1528515152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

1325 N WESTERN AVE, Los Angeles, CA 90027

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Other Names 1

Doing Business AsJwch Medical Clinic - Covenant House California

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1083560

Jwch Medical Clinic (covenant House) · Los Angeles, CA

Active · expires May 4, 2028

CLIA Number05D1083560

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 5, 2026

Certificate Expiration DateMay 4, 2028

Laboratory DirectorPaul Gregerson MD

Laboratory Phone(213) 484-1186

Laboratory LocationJwch Medical Clinic (covenant House)1325 N Western Ave, Los Angeles, CA 90027

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DAHLIA BAGNIS

Social Worker (Clinical)