VENICE FAMILY CLINIC
NPI 1669418513
Clinic/Center - Federally Qualified Health Center (FQHC) in Venice, CA

Active since June 21, 2006
604 ROSE AVE, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2022, Jul 21, 2021, Apr 20, 2021 (3 updates tracked since 2021).

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

NPI1669418513
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Organization SubpartNo
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 11, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
NPI 1669418513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 960000169 (CA)
604 ROSE AVE, Venice, CA 90291

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Community Health)
604 ROSE AVE
VENICE, CA 90291
Social Worker
604 ROSE AVE
VENICE, CA 90291
Pediatrics
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dietitian, Registered
604 ROSE AVE
VENICE, CA 90291
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Pharmacist
604 ROSE AVE
VENICE, CA 90291

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.

When was this NPI record last updated?

The NPPES record for Venice Family Clinic was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.