Chla Teaching Clinics LLC
NPI 1669992152ActiveOrganization· Clinic/Center, Multi-Specialty· Arcadia, CA
Clinic/Center, Multi-Specialty in Arcadia, California, registered in NPPES in June 2017. The authorized official on file is Andre Woods, Director, Provider Network Mgmt. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669992152 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2017 |
| Last updated in NPPES | Apr 19, 2024 |
| Certified by provider | Apr 19, 2024 |
| Reactivated | Aug 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Clinic/Center, Multi-Specialty providers in Arcadia
- 1700202769
- 1922717388