Whitehead Family Wellness Clinic
NPI 1053179911 · Primary Care Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whitehead Family Wellness Clinic is a Primary Care Nurse Practitioner organization in Los Angeles, CA (NPI 1053179911).
Provider details
- NPI number
- 1053179911
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Aurelia Whitehead, Chief Executive Officer(323) 200-6418
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-06
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Frequently asked questions
- What is Whitehead Family Wellness Clinic's NPI number?
- Whitehead Family Wellness Clinic's National Provider Identifier (NPI) is 1053179911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Whitehead Family Wellness Clinic?
- Whitehead Family Wellness Clinic is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Whitehead Family Wellness Clinic located?
- Whitehead Family Wellness Clinic's practice location on file with NPPES is 12813 Avalon Blvd, Los Angeles, CA 90061-2731.
- What is Whitehead Family Wellness Clinic's phone number?
- The practice phone number listed in the NPPES registry for Whitehead Family Wellness Clinic is (310) 819-8310.
- Does Whitehead Family Wellness Clinic accept Medicare?
- Whitehead Family Wellness Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Whitehead Family Wellness Clinic?
- The authorized official listed on Whitehead Family Wellness Clinic's NPPES record is Aurelia Whitehead, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Whitehead Family Wellness Clinic's NPI active?
- Yes — Whitehead Family Wellness Clinic's NPI (1053179911) is active in the NPPES registry as of the last update on 2024-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.