- Medicare Primary Care in Los Angeles, CA

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 8405 Beverly Blvd, Los Angeles, California. For appointments, you can reach them via phone at (323) 653-8622. The mailing address for is 8405 Beverly Blvd, Los Angeles, California and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194893248. 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 (323) 653-8622.

Contact Information

8405 Beverly Blvd
Los Angeles
CA 90048-3401
(323) 653-8622
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location8405 Beverly Blvd, Los Angeles, California
Authorized Official Name and PositionMuriel Nouwezem (CEO)
Authorized Official Contact3233371707
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

8405 Beverly Blvd
Los Angeles
CA 90048-3401

Ph: () -

8405 Beverly Blvd
Los Angeles
CA 90048-3401

Ph: (323) 653-8622

NPI Details:

NPI Number1194893248
Provider Enumeration Date11/30/2006
Last Update Date08/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5395886311
Medicare Enrollment IDO20100112000638

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194893248NPI-NPPES
FHC70701FMedicaidCA
CMM70945FMedicaidCA
EAP00005FMedicaidCA
BCP70654FMedicaidCA
BCP70701FMedicaidCA
HAP70654FMedicaidCA
FHC70654FMedicaidCA
HAP70701FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (California)Secondary
261QF0400XClinic/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. acts as a billing entity for following providers:
Provider NameTinh C Vuong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750569885
PECOS PAC ID: 5395874549
Enrollment ID: I20100526000346
Provider NameAaron Savar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1124182662
PECOS PAC ID: 0345306007
Enrollment ID: I20101228000256
Provider NameSarah M Domb
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801168208
PECOS PAC ID: 3375771595
Enrollment ID: I20140116000150
Provider NameOswald Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780676882
PECOS PAC ID: 8729201736
Enrollment ID: I20140520002027
Provider NameFarshid Fararooy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922045939
PECOS PAC ID: 4082887187
Enrollment ID: I20140717000145
Provider NameJennifer J Lee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669731295
PECOS PAC ID: 5890916266
Enrollment ID: I20160922001539
Provider NameVeronica Mae Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356693675
PECOS PAC ID: 8426316340
Enrollment ID: I20171226002013
Provider NameJennifer M Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609395649
PECOS PAC ID: 6800154667
Enrollment ID: I20171227002553
Provider NameGhassan Hani Nicola Khoury
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1003153214
PECOS PAC ID: 3274831649
Enrollment ID: I20180507002064
Provider NameChristine S Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346733946
PECOS PAC ID: 5294103081
Enrollment ID: I20221129002029
Provider NameRita Marie Rossi Foulkes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427011709
PECOS PAC ID: 8426059825
Enrollment ID: I20230323001073
Provider NameRyan Francis Gabriel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568028124
PECOS PAC ID: 9931433463
Enrollment ID: I20230629001795
Provider NameGina Nan Mo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609321892
PECOS PAC ID: 5395105464
Enrollment ID: I20230720002744
Provider NameStephanie Chang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346809001
PECOS PAC ID: 7214398486
Enrollment ID: I20230803003094
Provider NameManvir Singh Dhillon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083293252
PECOS PAC ID: 9335597525
Enrollment ID: I20231129000399
Provider NameHelena Marie Garcia
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1396227898
PECOS PAC ID: 7315380896
Enrollment ID: I20240212003480
Provider NameYanet Carina Gonzalez
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1265997100
PECOS PAC ID: 2062856354
Enrollment ID: I20240214002489
Provider NameJessica Elaine Keane
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1952950230
PECOS PAC ID: 7315381654
Enrollment ID: I20240214004225
Provider NameJennifer Mary Matthes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801313515
PECOS PAC ID: 8325482300
Enrollment ID: I20240217000528
Provider NameKendall Marie Keefe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417413568
PECOS PAC ID: 6305280074
Enrollment ID: I20240221001848
Provider NameSalmaan Zaki Kamal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023505534
PECOS PAC ID: 0547679631
Enrollment ID: I20240222003626
Provider NameDaisy Luna-torres
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1508280637
PECOS PAC ID: 7911342688
Enrollment ID: I20240304003357
Provider NameBrigid Quinn Donahue
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689949844
PECOS PAC ID: 2062857659
Enrollment ID: I20240305003809
Provider NameHugo Alberto Sanchez
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1871054148
PECOS PAC ID: 6800233214
Enrollment ID: I20240321000554
Provider NameJessica Cristina Portillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639581630
PECOS PAC ID: 2860619020
Enrollment ID: I20240617000991
Provider NameCarlos J Silva Lynch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477132744
PECOS PAC ID: 6204370877
Enrollment ID: I20240708000889
Provider NameLiza Rochelle Raffi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396324596
PECOS PAC ID: 6204371826
Enrollment ID: I20240708003347
Provider NameAlicia Diaz
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1609201086
PECOS PAC ID: 8527506336
Enrollment ID: I20240812002134
Provider NameDamian Charles Braun Kerr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215629696
PECOS PAC ID: 7416488184
Enrollment ID: I20241004002463
Provider NameRachel Barbour Ukwu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023571239
PECOS PAC ID: 0042545501
Enrollment ID: I20241007001545
Provider NameAnna Skor Noble
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558591800
PECOS PAC ID: 3678886785
Enrollment ID: I20241011002351
Provider NameNicole Snyder
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1306550751
PECOS PAC ID: 2466984133
Enrollment ID: I20241018002372
Provider NameNicole Alexandra Zubia
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1215628425
PECOS PAC ID: 0941732424
Enrollment ID: I20241022003701
Provider NameNeil R Modi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730718008
PECOS PAC ID: 7416481726
Enrollment ID: I20241108003043
Provider NameJaime Michelle La Charite
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437680378
PECOS PAC ID: 1456637297
Enrollment ID: I20241113000843
Provider NameElizabeth Lorena Suarez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376159038
PECOS PAC ID: 0143754473
Enrollment ID: I20241113002235
Provider NameParker George Albert Jobin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275100885
PECOS PAC ID: 9133653884
Enrollment ID: I20241118001184
Provider NameAllison Katharine Dietze
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1164157285
PECOS PAC ID: 7911433198
Enrollment ID: I20241211002065

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.