VENICE FAMILY CLINIC
NPI 1669418513
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA
About Venice Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VENICE FAMILY CLINIC (NPI 1669418513) is a healthcare organization registered as a federally qualified health center (fqhc) in Venice, California and active in the NPI registry since June 2006. The organization lists Mitesh G Popat, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Venice Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
143Medicare enrollment records show 143 clinicians reassign Medicare billing to Venice Family Clinic, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 143Venice, CA 90291
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 Venice Family Clinic's NPI number?
The NPI number for Venice Family Clinic is 1669418513. It was assigned to this organization in the NPPES registry on June 21, 2006.
Where is Venice Family Clinic located?
Venice Family Clinic is located at 604 Rose Ave, Venice, CA 90291. 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.
Is Venice Family Clinic enrolled in Medicare?
Yes. Venice Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Venice Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 143 clinicians in 16 Medicare specialties reassign their Medicare billing to Venice Family Clinic. 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 Family Practice (33), Clinical Social Worker (24) and Internal Medicine (23). Of these, 34 practice at this address and 97 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 Venice Family Clinic was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Venice Family Clinic · NPI 1669418513
Federally Qualified Health Center (FQHC) organization in Venice, California. Organization record, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1669418513 (Entity type: Organization)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Mitesh Popat, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 604 ROSE AVE, Venice, CA 90291-2767
- **Phone:** (310) 392-8636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 143 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (33), Clinical Social Worker (24), Internal Medicine (23); 34 practice at this address and 97 within 10 miles; [full list](https://npiprofile.com/npi/1669418513/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669418513) · Data from the CMS NPPES public registry.