EAST VALLEY COMMUNITY HEALTH CENTER
NPI 1023134582
Clinic/Center - Federally Qualified Health Center (FQHC) in West Covina, CA

Q: What is East Valley Community Health Center, Inc.'s specialty?

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

Active since March 22, 2007CLIA 05D0703791 · Microscopy

420 S GLENDORA AVE, WEST COVINA, CA 91790(626) 919-5724(909) 623-9648 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About East Valley Community Health Center NPPES

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

EAST VALLEY COMMUNITY HEALTH CENTER (NPI 1023134582) is a healthcare organization registered as a federally qualified health center (fqhc) in West Covina, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through December 3, 2026 and lists Alicia Mardini, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023134582

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAST VALLEY COMMUNITY HEALTH CENTER, INC.

Location Address420 S GLENDORA AVEWest Covina, CA 91790-3001

Mailing Address420 S Glendora AveWest Covina, CA 91790-3001 · (626) 919-4333 · Fax (626) 919-2084

Phone(626) 919-5724

Fax(909) 623-9648

Organization SubpartNo

Authorized OfficialAlicia MardiniChief Executive Officer · (626) 919-4333

Enumeration DateMarch 22, 2007

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2022

✔ NPI 1023134582 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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

420 S GLENDORA AVE, West Covina, CA 91790

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Other Names 1

Doing Business AsEast Valley Community Health Center

Other Identifiers 1

MedicaidEAP12048FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0703791

East Valley Community Health Ctr Inc · West Covina, CA

Active · expires Dec 3, 2026

CLIA Number05D0703791

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 4, 2024

Certificate Expiration DateDecember 3, 2026

Laboratory DirectorChinhnam Hathuc

Laboratory Phone(626) 919-4333

Laboratory LocationEast Valley Community Health Ctr Inc420 S Glendora Ave, West Covina, CA 91790

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MIRIAM HA P.A.

Physician Assistant