ST. JOHNS COMMUNITY HEALTH
NPI 1629491089
Clinic/Center - Community Health in Los Angeles, CA

Active since January 21, 2014
1555 WEST 110TH ST, LOS ANGELES, CA 90047(323) 541-1600(323) 541-1661 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Feb 16, 2023, Oct 24, 2022 and 2 more (5 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 1629491089), 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 January 2014. The organization lists James J Mangia, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1629491089
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameST. JOHNS COMMUNITY HEALTH
Location Address1555 WEST 110TH STLos Angeles, CA 90047-1220
Mailing Address808 W 58th StLos Angeles, CA 90037-3632 · (323) 541-1600 · Fax (323) 541-1661
Fax(323) 541-1661
Organization SubpartNo
Authorized OfficialJames J MangiaPresident And Ceo · (323) 541-1600
Enumeration DateJanuary 21, 2014
Last NPPES UpdateNovember 14, 20235 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1629491089 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
1555 WEST 110TH ST, Los Angeles, CA 90047

Other Names 1

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

Other Identifiers 1

Medicaid1629491089CA

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, 186 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
Nurse Practitioner
NPI 1376056630
11725 DALESIDE AVE
Hawthorne, CA 90250
(323) 679-4724
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1508652249
638 E 87TH ST
Los Angeles, CA 90002
(480) 584-2361
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Social Worker
NPI 1790277648
14003 EADALL AVE
Los Angeles, CA 90061
(424) 250-8272
✔ PECOS2.9 mi
Optometry
NPI 1083097760
4455 W 117TH ST STE 105
Hawthorne, CA 90250
(424) 456-6200
✔ PECOS3.0 mi
Optometry
NPI 1295913770
1141 W REDONDO BEACH BLVD
Gardena, CA 90247
(310) 767-7814
✔ PECOS3.1 mi
Dentist
NPI 1962790592
10300 COMPTON AVE
Los Angeles, CA 90002
(323) 357-6600
✔ PECOS3.3 mi
Family Practice
NPI 1477015949
1670 E 120TH ST
Los Angeles, CA 90059
(424) 338-1470
✔ PECOS✔ Accepts Medicare3.5 mi
Cardiovascular Disease (Cardiology)
NPI 1952305823
2251 W ROSECRANS AVE STE 21
Compton, CA 90222
(424) 529-6755
✔ PECOS✔ Accepts Medicare3.5 mi
Psychiatry
NPI 1942429717
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS3.8 mi
Pediatric Medicine
NPI 1326561630
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS3.8 mi
Family Practice
NPI 1487073839
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS✔ Accepts Medicare3.8 mi
Marriage and Family Therapist
NPI 1184166878
808 W 58TH ST
Los Angeles, CA 90037
(213) 321-2380
✔ PECOS3.8 mi
Internal Medicine
NPI 1275986127
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS✔ Accepts Medicare3.8 mi
Obstetrics/Gynecology
NPI 1912188558
808 W 58TH ST STE 206
Los Angeles, CA 90037
(323) 541-1411
✔ PECOS✔ Accepts Medicare3.8 mi
Internal Medicine
NPI 1578925814
808 W 58TH ST FL 2
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS✔ Accepts Medicare3.8 mi
Registered Dietitian or Nutrition Professional
NPI 1477394633
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ Accepts Medicare3.8 mi
Pediatric Medicine
NPI 1245891480
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS3.8 mi
Clinical Social Worker
NPI 1801921481
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1400
✔ PECOS3.8 mi
Certified Nurse Midwife (CNM)
NPI 1134260060
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1600
✔ PECOS3.8 mi
Clinical Psychologist
NPI 1932368388
808 W 58TH ST
Los Angeles, CA 90037
(323) 541-1400
✔ PECOS✔ Accepts Medicare3.8 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 1629491089. It was assigned to this organization in the NPPES registry on January 21, 2014. 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 1555 West 110th St, Los Angeles, CA 90047. 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, 186 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 14, 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.