CENTRAL CITY COMMUNITY HEALTH CENTER
NPI 1235283094
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

NPI Status: Active since January 22, 2007

Contact Information

5970 S CENTRAL AVE
LOS ANGELES, CA
ZIP 90001
Phone: (323) 234-3280
Fax: (323) 234-3493

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D0903954
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-01-2025

About CENTRAL CITY COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Central City Community Health Center, a primary care provider established in Los Angeles, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1235283094 assigned on January 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Maricela Mendoza (Managed Care Lead)

NPI
1235283094
Provider Name
CENTRAL CITY COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
5970 S CENTRAL AVE LOS ANGELES, CA 90001
Location Phone
(323) 234-3280
Location Fax
(323) 234-3493
Mailing Address
2019 SATURN ST MONTEREY PARK, CA 91755
Mailing Phone
(323) 724-0019
Mailing Fax
(323) 234-3493
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
12-21-2022
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A primary care provider (PCP) like Central City Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARICELA MENDOZA

Authorized Official Title
MANAGED CARE LEAD
Authorized Official Phone
(323) 724-0019

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC70614FMEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0903954
Facility Type
Federally Qualified Health Center
Certificate Effective Date
August 02, 2023
Certificate Expiration Date
August 01, 2025
Laboratory Director
MARIA DALY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central City Community Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235283094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265486018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 8 + 6 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1235283094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477670750 OSCAR A ESCOBAR PA-C
Individual
Physician Assistant5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1669606513 GILDA JUDITH DE LA TORRE LCSW
Individual
Social Worker (Clinical)5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 724-0019
1144620402MS. SOMMER RAE KASKOWITZ FNP
Individual
Nurse Practitioner (Family)5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1225127491DR. MARIA FRANCES DALY D.O.
Individual
Family Medicine5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1043547813DR. MORTON AARON KAMZAN M.D.
Individual
Internal Medicine5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(877) 358-5841
1275646952 SHAFEEQ S SHAMSID-DEEN MD
Individual
Family Medicine5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1609129170 CATHLEEN HYUN MARQUEZ
Individual
Physician Assistant5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1497462006 ROELLA SARNO LUMAGUE
Individual
Dental Hygienist5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280
1619716131 YVETTE MARLENE ROJAS PHLEBOTOMIST
Individual
Technician, Pathology (Phlebotomy)5970 S CENTRAL AVE
LOS ANGELES, CA 90001
(323) 234-3280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235283094, enumerated in the NPI registry as an "organization" on January 22, 2007

The provider is located at 5970 S Central Ave Los Angeles, Ca 90001 and the phone number is (323) 234-3280

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0903954 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.