VENICE SOUTH BAY INGLEWOOD
NPI 1558934059
Clinic/Center - Federally Qualified Health Center (FQHC) in Inglewood, CA

Q: What is Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1558934059. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is also known as Venice South Bay Inglewood.

Q: 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.

Active since July 21, 2021

1091 S LA BREA AVE, INGLEWOOD, CA 90301(310) 802-6177(310) 802-6178 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Sep 29, 2021, Jul 21, 2021 (3 updates tracked since 2021).

On this page

About Venice South Bay Inglewood NPPES

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

VENICE SOUTH BAY INGLEWOOD (NPI 1558934059) is a healthcare organization registered as a federally qualified health center (fqhc) in Inglewood, California and active in the NPI registry since July 2021. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1558934059

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameVENICE FAMILY CLINIC

Location Address1091 S LA BREA AVEInglewood, CA 90301-3817

Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636

Phone(310) 802-6177

Fax(310) 802-6178

Organization SubpartYes

Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901

Enumeration DateJuly 21, 2021

Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration

NPPES CertifiedNovember 30, 2023

✔ NPI 1558934059 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

1091 S LA BREA AVE, Inglewood, CA 90301

Open in Google Maps ↗

Other Names 1

Other NameVenice South Bay Inglewood

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

Other Providers at the Same Location NPPES 10

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

DR. RACHNA KUCHERIA M.D.

Family Medicine