CENTRAL CITY COMMUNITY HEALTH CENTER
NPI 1588972129
Clinic/Center - Federally Qualified Health Center (FQHC) in Garden Grove, CA

NPI Status: Active since September 16, 2010

Contact Information

12511 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 643-7176
Fax: (714) 643-7180

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D0707692
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 12-12-2026

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 Garden Grove, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1588972129 assigned on September 2010. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Rosemary Reyes Do (Ceo)

NPI
1588972129
Provider Name
CENTRAL CITY COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
12511 BROOKHURST ST GARDEN GROVE, CA 92840
Location Phone
(714) 643-7176
Location Fax
(714) 643-7180
Mailing Address
2019 SATURN ST MONTEREY PARK, CA 91755
Mailing Phone
(323) 724-0019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2010
Last Update Date
12-13-2024
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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

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

ROSEMARY REYES DO

Authorized Official Title
CEO
Authorized Official Phone
(714) 490-2750

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
1235283094MEDICAID (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
05D0707692
Facility Type
Federally Qualified Health Center
Certificate Effective Date
December 13, 2024
Certificate Expiration Date
December 12, 2026
Laboratory Director
ROSEMARY REYES
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.
1588972129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168187414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 8 + 7 + 4 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1588972129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720024441DR. GERALD COLBORNE WEEKS II D.C.
Individual
Chiropractor12511 BROOKHURST ST
GARDEN GROVE, CA 92840
(714) 741-0330
1477625630DR. ROBERT LEE JONES DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)12511 BROOKHURST ST
GARDEN GROVE, CA 92840
(714) 530-9801
1902972938DR. TU CATHERINE DAO DDS
Individual
Dentist (General Practice)12511 BROOKHURST ST
GARDEN GROVE, CA 92840
(714) 530-9801
1144529926DR. ERIN BENESCH DO
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)12511 BROOKHURST ST 2 FL
GARDEN GROVE, CA 92840
(714) 534-3681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588972129, enumerated in the NPI registry as an "organization" on September 16, 2010

The provider is located at 12511 Brookhurst St Garden Grove, Ca 92840 and the phone number is (714) 643-7176

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 05D0707692 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 September 16, 2010. 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.