1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

GOOD NEIGHBOR CLINIC FOUNDATION
NPI 1043162076
Family Medicine - Geriatric Medicine in Los Angeles, CA

Active since February 11, 2026CLIA 05D2089415 · Waiver
4300 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 298-1668(323) 298-0458 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Good Neighbor Clinic Foundation NPPES

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

GOOD NEIGHBOR CLINIC FOUNDATION (NPI 1043162076) is a healthcare organization registered as a geriatric medicine in Los Angeles, California and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Daniel Davidson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043162076
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGOOD NEIGHBOR CLINIC FOUNDATION
Location Address4300 CRENSHAW BLVDLos Angeles, CA 90008-4902
Mailing Address4300 Crenshaw BlvdLos Angeles, CA 90008-4902 · (323) 298-1668 · Fax (323) 298-0458
Phone(323) 298-1668
Fax(323) 298-0458
Organization SubpartNo
Authorized OfficialDaniel DavidsonAdministrator · (310) 212-1500
Enumeration DateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1043162076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedTechnician/TechnologistTaxonomy 156F00000X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedMealsTaxonomy 174200000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
4300 CRENSHAW BLVD, Los Angeles, CA 90008
Open in Google Maps ↗

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 of Waiver 05D2089415

Good Neighbor Clinic, Amc · Los Angeles, CA
Active · expires Dec 29, 2026
CLIA Number05D2089415
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorMahhi Zandi Esfahani, MD
Laboratory Phone(323) 298-1668
Laboratory LocationGood Neighbor Clinic, Amc4300 Crenshaw Blvd, Los Angeles, CA 90008
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

GOOD NEIGHBOR CLINICS A MEDICAL GROUP
Family Medicine (Adult Medicine)
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 298-1668
DR. MOON IP MD
Surgery
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 298-1000
LAKE SIDE MEDICAL CENTER PROFESSIONAL. INC.
Specialist
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 298-1668
LOS ANGELES COMMUNITY HEALTH CENTER
Family Medicine
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 298-1668
GOOD NEIGHBOR CLINIC FOUNDATION
Prevention Professional
4300 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 298-1668

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 Good Neighbor Clinic Foundation's NPI number?

The NPI number for Good Neighbor Clinic Foundation is 1043162076. It was assigned to this organization in the NPPES registry on February 11, 2026.

Where is Good Neighbor Clinic Foundation located?

Good Neighbor Clinic Foundation is located at 4300 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 298-1668.

What is Good Neighbor Clinic Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Good Neighbor Clinic Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2089415) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Good Neighbor Clinic Foundation was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.