VENICE FAMILY CLINIC
NPI 1639949191
Clinic/Center - Federally Qualified Health Center (FQHC) in Redondo Beach, CA

Active since January 05, 2024
514 N PROSPECT AVE STE 400, REDONDO BEACH, CA 90277(310) 392-8636 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Venice Family Clinic NPPES

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

VENICE FAMILY CLINIC (NPI 1639949191) is a healthcare organization registered as a federally qualified health center (fqhc) in Redondo Beach, California and active in the NPI registry since January 2024. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1639949191
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address514 N PROSPECT AVE STE 400Redondo Beach, CA 90277-3040
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
NPI 1639949191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
514 N PROSPECT AVE STE 400, Redondo Beach, CA 90277

Other Names 1

Other NameVenice Family Clinic - Allcove

Other Providers at the Same Location NPPES 3

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

Health and Wellness Coach
514 N PROSPECT AVE STE 400
REDONDO BEACH, CA 90277
Health and Wellness Coach
514 N PROSPECT AVE STE 400
REDONDO BEACH, CA 90277
Social Worker (Clinical)
514 N PROSPECT AVE STE 400
REDONDO BEACH, CA 90277

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 Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1639949191. It was assigned to this organization in the NPPES registry on January 5, 2024. The provider is also known as Venice Family Clinic - Allcove.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 514 N Prospect Ave Ste 400, Redondo Beach, CA 90277. The listed phone number is (310) 392-8636.

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.

When was this NPI record last updated?

The NPPES record for Venice Family Clinic was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.