Los Angeles Lgbt Center · Federally Qualified Health Center (FQHC)

1625 Schrader Blvd, Los Angeles, CA 90028-6213

Overview

Los Angeles Lgbt Center is a Federally Qualified Health Center (FQHC) (organization) practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1225599178, which was assigned on March 25, 2019, and the registration record was last updated on October 23, 2025. The practitioner's main practice location is at 3055 Wilshire Blvd Ste 360, Los Angeles, CA 90010-1108; the contact telephone number is 3239932900. The primary taxonomy of Los Angeles Lgbt Center is Federally Qualified Health Center (FQHC) (261QF0400X), with specialization in Federally Qualified Health Center (FQHC). The authorized official for Los Angeles Lgbt Center is Robyn Goldman (Chief Financial Officer).

Provider Information

NPI 1225599178
Entity Type Organization
Organization Name LOS ANGELES LGBT CENTER
Provider Name LOS ANGELES LGBT CENTER
Practice Address 3055 Wilshire Blvd Ste 360
Los Angeles
CA 90010-1108
Practice Telephone 3239932900
Mailing Address 1625 Schrader Blvd
Los Angeles
CA 90028-6213
Mailing Telephone 3239937555
Certification Date 2025-10-23
Enumeration Date 2019-03-25
Last Update Date 2025-10-23
Is Organization Subpart Y
Parent Organization Legal Business Name LOS ANGELES LGBT CENTER

Authorized Official Information

Official Name ROBYN GOLDMAN
Official Title CHIEF FINANCIAL OFFICER
Telephone 3239938948

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)

Taxonomy Information

Primary Taxonomy

Code 261QF0400X
Taxonomy Federally Qualified Health Center (FQHC)
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

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Location Information

Street Address 1625 SCHRADER BLVD
City LOS ANGELES
State CA
Zip Code 90028-6213
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Timothy Lewis · Red Lewis 1625 Schrader Blvd, Los Angeles, CA 90028-6213Registered Nurse2026-04-01
Jay Minko 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-17
Morgan Smith 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-18
Gabriela Martinez 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-13
Rudy Hernandez 1625 Schrader Blvd, Los Angeles, CA 90028-6213Licensed Vocational Nurse2026-04-02
Bailey Robinson Polacek 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-27
Nina Debruno 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-13
Holden Streetly 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-15
Michael Mulhearn 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-15
Vicky Nguyen 1625 Schrader Blvd, Los Angeles, CA 90028-6213Student in an Organized Health Care Education/Training Program2025-09-18
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lillian Machin 1625 North Shrader Blvd, Hollywood, CA 90028-6213Clinical Social Worker2007-08-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lab One, Inc 1617 N El Centro Ave Suite 16, Los Angeles, CA 90028Portable X-ray and/or Other Portable Diagnostic Imaging Supplier2021-01-31
Garfield Beach Cvs LLC 5500 West Sunset Boulevard, Los Angeles, CA 90028Durable Medical Equipment & Medical Supplies2020-02-07
Pedro E Morante 6245 Delongpre Ave, 2nd Floor, Los Angeles, CA 90028Psychiatric/Mental Health Nurse Practitioner2016-04-06
Danielle Arce 6721 De Longpre Ave, Los Angeles, CA 90028Pediatric Nutrition Registered Dietitian2018-05-07
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Melissa Susac 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028Marriage & Family Therapist2017-02-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.