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CENTRO MEDICO COMMUNITY CLINIC, INC
NPI 1013856020
Clinic/Center - Federally Qualified Health Center (FQHC) in Corona, CA

Active since March 25, 2026
1307 W 6TH ST STE 124, CORONA, CA 92882(844) 223-6876 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Mar 25, 2026 (2 updates tracked since 2026).

About Centro Medico Community Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO MEDICO COMMUNITY CLINIC, INC (NPI 1013856020) is a healthcare organization registered as a federally qualified health center (fqhc) in Corona, California and active in the NPI registry since March 2026. The organization lists Samar Masri, Hr Director, as its authorized official.

NPPES Registry Identity

NPI1013856020
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRO MEDICO COMMUNITY CLINIC, INC
Location Address1307 W 6TH ST STE 124Corona, CA 92882-1642
Mailing Address1303 W 6th St Ste 102Corona, CA 92882-3196 · (844) 223-6876
Phone(844) 223-6876
Organization SubpartNo
Authorized OfficialSamar MasriHr Director · (951) 278-8910
Enumeration DateMarch 25, 2026
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1013856020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
1307 W 6TH ST STE 124, Corona, CA 92882
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0984494

Centro Medico Community Clinic · Corona, CA
Expired · Jul 11, 2026
CLIA Number05D0984494
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 12, 2024
Certificate Expiration DateJuly 11, 2026
Laboratory DirectorSuzan Hanna
Laboratory Phone(951) 278-8910
Laboratory LocationCentro Medico Community Clinic1303 W 6th St Ste 105, Corona, CA 92882
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro Medico Community Clinic, Inc's NPI number?

The NPI number for Centro Medico Community Clinic, Inc is 1013856020. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Centro Medico Community Clinic, Inc located?

Centro Medico Community Clinic, Inc is located at 1307 W 6th St Ste 124, Corona, CA 92882. The listed phone number is (844) 223-6876.

What is Centro Medico Community Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Centro Medico Community Clinic, Inc was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.