ARROYO VISTA FAMILY HEALTH FOUNDATION NPI 1316088479

NPI Information

NPI: 1316088479
Provider Name: ARROYO VISTA FAMILY HEALTH FOUNDATION
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: ARROYO VISTA FAMILY HEALTH CENTER
CLIA Number: 05D2014919
Address: 4815 VALLEY BLVD
SUITE C
LOS ANGELES, CA
ZIP 90032
Phone: (323) 222-1134

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NPI Details

ARROYO VISTA FAMILY HEALTH FOUNDATION is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. ARROYO VISTA FAMILY HEALTH FOUNDATION NPI is 1316088479. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arroyo Vista Family Health Center.

The provider's business location address is:

4815 VALLEY BLVD
SUITE C
LOS ANGELES, CA
ZIP 90032-856
Phone: (323) 222-1134
Fax: (323) 221-4506

The provider's authorized official is Lorraine Estradas .
The authorized official title is Ceo and has the following contact phone number (323) 254-5291.

The CLIA number assigned to this NPI record is 05D2014919 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2007 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC70919F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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