Central City Community Health Center | |
5970 S Central Ave Los Angeles CA 90001 | |
(323) 234-3280 | |
(323) 234-3493 |
Full Name | Central City Community Health Center |
---|---|
Speciality | Clinic/Center |
Location | 5970 S Central Ave, Los Angeles, California |
Authorized Official Name and Position | Maricela Mendoza (MANAGED CARE LEAD) |
Authorized Official Contact | 3237240019 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central City Community Health Center 2019 Saturn St Monterey Park CA 91755-7415 Ph: (323) 724-0019 | Central City Community Health Center 5970 S Central Ave Los Angeles CA 90001 Ph: (323) 234-3280 |
NPI Number | 1235283094 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 12/21/2022 |
Medicare PECOS PAC ID | 6608837331 |
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Medicare Enrollment ID | O20041025001177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235283094 | NPI | - | NPPES |
FHC70614F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Kingsley Ofoegbu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285732354 PECOS PAC ID: 2163326992 Enrollment ID: I20031124000293 |
Provider Name | Shafeeq S Shamsid-deen |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1275646952 PECOS PAC ID: 8022902287 Enrollment ID: I20040210000506 |
Provider Name | Dean James Scofield |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487644209 PECOS PAC ID: 5092603530 Enrollment ID: I20040308000400 |
Provider Name | Maria F Daly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225127491 PECOS PAC ID: 5496640344 Enrollment ID: I20040325001729 |
Provider Name | Caroucel K Chuateco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174554059 PECOS PAC ID: 0941192637 Enrollment ID: I20040326001248 |
Provider Name | Serge Abdishoo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336162759 PECOS PAC ID: 9537152129 Enrollment ID: I20040407001641 |
Provider Name | Irina Pinsky |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508857079 PECOS PAC ID: 7517952872 Enrollment ID: I20040416000350 |
Provider Name | Sophie H Chang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720053978 PECOS PAC ID: 7719975358 Enrollment ID: I20040503001737 |
Provider Name | Joanna Wu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1467482737 PECOS PAC ID: 6002893492 Enrollment ID: I20040702000758 |
Provider Name | Phuc Tuan Huynh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922005602 PECOS PAC ID: 9830160936 Enrollment ID: I20040803000737 |
Provider Name | Stephen M Lewinson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245358993 PECOS PAC ID: 8921034950 Enrollment ID: I20050712000290 |
Provider Name | Maria Lucila Sison Llanes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235181454 PECOS PAC ID: 4284665266 Enrollment ID: I20050830000284 |
Provider Name | Charles Tuan-tu S Nguyen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942380118 PECOS PAC ID: 4688607906 Enrollment ID: I20050915001194 |
Provider Name | Hung Dinh Doan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376699918 PECOS PAC ID: 8820014434 Enrollment ID: I20051021000589 |
Provider Name | Hao Kc Cao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629173364 PECOS PAC ID: 8820002983 Enrollment ID: I20060127000862 |
Provider Name | Michael D Choi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255405635 PECOS PAC ID: 9335236652 Enrollment ID: I20071102000719 |
Provider Name | Shervin Shamtoub |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194923326 PECOS PAC ID: 0941399026 Enrollment ID: I20071128000296 |
Provider Name | Mary Ann Schaepper |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912922626 PECOS PAC ID: 9638243314 Enrollment ID: I20080729000453 |
Provider Name | Tshekedi Galen Dennis |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215015508 PECOS PAC ID: 9830254432 Enrollment ID: I20090216000052 |
Provider Name | Dinh-chi A Nguyen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346232576 PECOS PAC ID: 5991856247 Enrollment ID: I20090625000471 |
Provider Name | Bahaa B Girgis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154519213 PECOS PAC ID: 2860544590 Enrollment ID: I20090710000221 |
Provider Name | Alberto A Coronel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386888055 PECOS PAC ID: 1052463494 Enrollment ID: I20090716000363 |
Provider Name | William Gillespie |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538238118 PECOS PAC ID: 1658427851 Enrollment ID: I20090912000161 |
Provider Name | George A Blair |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588678973 PECOS PAC ID: 3476694670 Enrollment ID: I20100111000311 |
Provider Name | Rimal B Bera |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578643656 PECOS PAC ID: 9234271966 Enrollment ID: I20100119000586 |
Provider Name | Maria Huguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881730240 PECOS PAC ID: 2466582481 Enrollment ID: I20100617000266 |
Provider Name | Dale J Brent |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992886618 PECOS PAC ID: 1355371600 Enrollment ID: I20110119001179 |
Provider Name | Gilbert R Varela |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396795985 PECOS PAC ID: 5294728044 Enrollment ID: I20111005000841 |
Provider Name | Shaheen Iqbal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366514499 PECOS PAC ID: 5890956197 Enrollment ID: I20120413000127 |
Provider Name | Douglas H Phan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366671992 PECOS PAC ID: 2466693536 Enrollment ID: I20130801000372 |
Provider Name | Roshinie M Fernando |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386959666 PECOS PAC ID: 5991933442 Enrollment ID: I20140109000024 |
Provider Name | Edward A Santiago |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770921058 PECOS PAC ID: 6507907946 Enrollment ID: I20140714000008 |
Provider Name | Angelique B Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003158353 PECOS PAC ID: 2264754290 Enrollment ID: I20141203000003 |
Provider Name | Hailong Vu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578862256 PECOS PAC ID: 1850600578 Enrollment ID: I20151020003005 |
Provider Name | Leslie P Paredes-plaza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295112613 PECOS PAC ID: 0749580918 Enrollment ID: I20151120000906 |
Provider Name | Jalie A Heslop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811365521 PECOS PAC ID: 4789985060 Enrollment ID: I20151209002901 |
Provider Name | Assefa E Mekonnen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942605126 PECOS PAC ID: 4880996016 Enrollment ID: I20160105002949 |
Provider Name | Nasreen Safdar Rahman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801161807 PECOS PAC ID: 9830415298 Enrollment ID: I20160421002076 |
Provider Name | Jonathan L Brand |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548259401 PECOS PAC ID: 1456246354 Enrollment ID: I20160506002040 |
Provider Name | Ogbonna Iwuamadi Olelewe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043751886 PECOS PAC ID: 4284908906 Enrollment ID: I20170919003785 |
Provider Name | Chinwe N Obi-canby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245757186 PECOS PAC ID: 8820353113 Enrollment ID: I20180608000308 |
Provider Name | Kumar S Gandhi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821369877 PECOS PAC ID: 0244583482 Enrollment ID: I20181105002751 |
Provider Name | Nathelia Pascual Bim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598245979 PECOS PAC ID: 5395081863 Enrollment ID: I20190104001558 |
Provider Name | Somaya Bhimaya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558890749 PECOS PAC ID: 4082954250 Enrollment ID: I20190326001162 |
Provider Name | Rose Marie Basurto-varela |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336383702 PECOS PAC ID: 8426482506 Enrollment ID: I20191224000269 |
Provider Name | Rosemary David Reyes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619105327 PECOS PAC ID: 3476843731 Enrollment ID: I20200114000809 |
Provider Name | Nickolas Lloyd Lind |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689864340 PECOS PAC ID: 5890120257 Enrollment ID: I20200114001059 |
Provider Name | Chester Diokno Mojica |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952416604 PECOS PAC ID: 5193067924 Enrollment ID: I20200114002151 |
Provider Name | Scott J Choi |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1609423383 PECOS PAC ID: 2961837802 Enrollment ID: I20200122002758 |
Provider Name | Erin Fraser Benesch |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144529926 PECOS PAC ID: 9234565037 Enrollment ID: I20200213001672 |
Provider Name | Andrea Cecilia Riser-zanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932510401 PECOS PAC ID: 3971930215 Enrollment ID: I20200225002775 |
Provider Name | Ese Ogbetuo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417423138 PECOS PAC ID: 4385073337 Enrollment ID: I20200326002912 |
Provider Name | Leyla Mehdizadegan |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912283888 PECOS PAC ID: 6103255849 Enrollment ID: I20200401002159 |
Provider Name | Calista E Ezeokoye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003279118 PECOS PAC ID: 1254697824 Enrollment ID: I20200402000429 |
Provider Name | Alyssa Bernadette Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669030490 PECOS PAC ID: 6800226655 Enrollment ID: I20200420002073 |
Provider Name | Min Cen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275068801 PECOS PAC ID: 4789006818 Enrollment ID: I20200618002382 |
Provider Name | Dana Jeries Alrabadi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952852741 PECOS PAC ID: 7810360138 Enrollment ID: I20230307000634 |
Provider Name | Diana Montano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346799343 PECOS PAC ID: 9335414069 Enrollment ID: I20230509000937 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |