Venice Family Clinic
NPI 1053854836 · Federally Qualified Health Center (FQHC) · Venice, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Venice Family Clinic is a Federally Qualified Health Center (FQHC) organization in Venice, CA (NPI 1053854836).
Provider details
- NPI number
- 1053854836
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Venice Family Clinic
- Organization subpart
- Yes
- Authorized official
- Mitesh Popat, Chief Executive Officer(310) 664-7901
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Other names (DBA / former)
- Other name
- Bill'S Clinic at Safe Place for Youth
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Venice Family Clinic's NPI number?
- Venice Family Clinic's National Provider Identifier (NPI) is 1053854836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Venice Family Clinic?
- Venice Family Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Venice Family Clinic located?
- Venice Family Clinic's practice location on file with NPPES is 2469 Lincoln Blvd, Venice, CA 90291-5040.
- What is Venice Family Clinic's phone number?
- The practice phone number listed in the NPPES registry for Venice Family Clinic is (310) 392-8636.
- Does Venice Family Clinic accept Medicare?
- Venice Family 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 Venice Family Clinic?
- The authorized official listed on Venice Family Clinic's NPPES record is Mitesh Popat, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Venice Family Clinic's NPI active?
- Yes — Venice Family Clinic's NPI (1053854836) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.