OrganizationActive
Venice Family Clinic
NPI 1124054564 · Federally Qualified Health Center (FQHC) · Venice, CA
Provider details
- NPI number
- 1124054564
- 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
- License
- 960000959 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
905 Venice Blvd
Venice, CA 90291-4904
Phone: (310) 392-8638
Street-level locationGet directions
Mailing address
604 Rose Ave
Venice, CA 90291-2767
Other names (DBA / former)
- Other name
- Robert Levine Family Health Center
- Other name
- Robert Levine Family Health Center
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.