NORTHEAST COMMUNITY CLINIC
NPI 1336790914
Clinic/Center - Federally Qualified Health Center (FQHC) in Hawthorne, CA

NPI Status: Active since September 24, 2019

Contact Information

4455 W 117TH ST STE 502
HAWTHORNE, CA
ZIP 90250
Phone: (424) 236-4800
Fax: (424) 236-4801

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About NORTHEAST COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Northeast Community Clinic, a primary care provider established in Hawthorne, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336790914 assigned on September 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Christopher Tak Lau Md (Executive Director)

NPI
1336790914
Provider Name
NORTHEAST COMMUNITY CLINIC
Entity Type
Organization
Location Address
4455 W 117TH ST STE 502 HAWTHORNE, CA 90250
Location Phone
(424) 236-4800
Location Fax
(424) 236-4801
Mailing Address
2550 W MAIN ST STE 301 ALHAMBRA, CA 91801
Mailing Phone
(626) 457-6900
Mailing Fax
(424) 236-4801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2019
Last Update Date
10-15-2021
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A primary care provider (PCP) like Northeast Community Clinic 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

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

CHRISTOPHER TAK LAU MD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(626) 457-6900

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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.
1336790914
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366149092
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 9 + 0 + 9 + 2 + 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 1336790914 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033573241 XIN CHEN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)4455 W 117TH ST STE 502
HAWTHORNE, CA 90250
(424) 236-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336790914, enumerated in the NPI registry as an "organization" on September 24, 2019

The provider is located at 4455 W 117th St Ste 502 Hawthorne, Ca 90250 and the phone number is (424) 236-4800

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

This NPI record was last updated on September 24, 2019. 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.