ST. JOHNS COMMUNITY HEALTH – NPI #1548764392
Clinic/Center

ST. JOHNS COMMUNITY HEALTH is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1548764392 to ST. JOHNS COMMUNITY HEALTH on March 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Feb 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOHNS COMMUNITY HEALTH below.

NPI Profile for
ST. JOHNS COMMUNITY HEALTH

NPI Number
1548764392
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOHNS COMMUNITY HEALTH
Former Legal Business Name: ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Other name(s)
All associated names:
Other Name
St. John's Well Child and Family Center - Boys and Girls
Former Legal Business Name
ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Primary location
1000 W. 50TH ST
LOS ANGELES, CA 90037
Phone: (323) 541-1411 Fax: (323) 541-1661
Mailing address
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone: (323) 541-1600 Fax: (323) 541-1661
Organization Subpart
No
Authorized Official
MARIA GENIE
EXECUTIVE PROJECT DIRECTOR
Phone: (323) 541-1600
Updated
Certification Date
Feb 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST. JOHNS COMMUNITY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1861893844
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QD0000X
- Clinic/Center / Dental

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.