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: August 02, 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

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.

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.