MEDICARE: VIA CARE COMMUNITY HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	261QF0400X	Federally Qualified Health Center (FQHC)		CA

General Provider Information

NPI Number	:	1730630997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIA CARE COMMUNITY HEALTH CENTER

Provider Business Mailing Address
First Line	:	607 S ATLANTIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-3211
Country	:	US
Telephone Number	:	323-268-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 S ATLANTIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1733
Country	:	US
Telephone Number	:	323-268-9191
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DEBORAH VILLAR
Credential	:
Telephone Number	:	213-268-9191

Provider Enumeration Date	:	10/21/2016
Last Update Date	:	03/02/2022

Similar Medicare Providers

1669589644 — DR. THAMBIMUTTU JEYARANJAN M.D.
Practice Location Address:

284 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-780-5884
Practice Fax: 323-264-4628

1083756001 — DR. JANGA A REDDY M.D
Practice Location Address:

284 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-264-4004
Practice Fax: 323-264-4628

1306062930 — GRANT MEDICAL CLINIC
Practice Location Address:

274 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-267-0442
Practice Fax:

1194058347 — DR. SATISH S KADABA MD
Practice Location Address:

280 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-262-9990
Practice Fax: 323-262-9996

1376984187 — DR. RONALD ARGYLL GRANT MD
Practice Location Address:

274 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-267-0442
Practice Fax:

1699123331 — MRS. FRANCES GOMEZ MSW
Practice Location Address:

280 S ATLANTIC BLVD
LOS ANGELES, CA
90022-1733

Practice Phone: 323-691-7718
Practice Fax:

Directions to “VIA CARE COMMUNITY HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.