Prime Wellness Community Health Center in Los Angeles, CA

Prime Wellness Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for Prime Wellness Community Health Center is 8610 S Sepulveda Blvd Ste 104, Los Angeles, California. For appointments, you can reach them via phone at (310) 659-7867. The mailing address for Prime Wellness Community Health Center is 8610 S Sepulveda Blvd Ste 104, Los Angeles, California and phone number is (310) 659-7867.

Prime Wellness Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083251532. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (310) 659-7867.

Contact Information

	Prime Wellness Community Health Center
	8610 S Sepulveda Blvd Ste 104 Los Angeles CA 90045-4009
	(310) 659-7867
	(310) 878-2118

Map and Direction

Primary Care Clinic Profile

Full Name	Prime Wellness Community Health Center
Speciality	Clinic/Center
Location	8610 S Sepulveda Blvd Ste 104, Los Angeles, California
Authorized Official Name and Position	Denys Slesarenko (CEO)
Authorized Official Contact	3106597867
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Prime Wellness Community Health Center 8610 S Sepulveda Blvd Ste 104 Los Angeles CA 90045-4009 Ph: (310) 659-7867	Prime Wellness Community Health Center 8610 S Sepulveda Blvd Ste 104 Los Angeles CA 90045-4009 Ph: (310) 659-7867

NPI Details:

NPI Number	1083251532
Provider Enumeration Date	12/03/2019
Last Update Date	02/05/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	3375944150
Medicare Enrollment ID	O20210630002908

Medical Identifiers

Medical identifiers for Prime Wellness Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083251532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prime Wellness Community Health Center acts as a billing entity for following providers:

Provider Name	Nicolette L Ballou
Provider Type	Practitioner - Pediatric Medicine
Provider Identifiers	NPI Number: 1457420077 PECOS PAC ID: 2062814775 Enrollment ID: I20210716001067

Reviews and Comments

Clinic/Center in Los Angeles, CA

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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300
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
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

Prime Wellness Community Health Center - Medicare Primary Care in Los Angeles, CA