ST ANTHONY MEDICAL CENTERS
NPI 1063562130
Clinic/Center - Federally Qualified Health Center (FQHC) in Hollywood, CA

Active since January 11, 2007CLIA 05D0955411 · Waiver
6368 HOLLYWOOD BLVD, HOLLYWOOD, CA 90028(323) 469-5555 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Anthony Medical Centers NPPES

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

ST ANTHONY MEDICAL CENTERS (NPI 1063562130) is a healthcare organization registered as a federally qualified health center (fqhc) in Hollywood, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Awad Anthony, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063562130
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST ANTHONY MEDICAL CENTERS
Location Address6368 HOLLYWOOD BLVDHollywood, CA 90028-6320
Mailing Address6368 Hollywood BlvdHollywood, CA 90028-6320 · (323) 469-5555
Organization SubpartNo
Authorized OfficialAwad AnthonyCeo · (323) 469-5555
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1063562130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
6368 HOLLYWOOD BLVD, Hollywood, CA 90028

Other Identifiers 2

MedicaidFHC70863FCA
OtherHAP70863FCA · Family Pact

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 05D0955411

St Anthony Medical Centers · Hollywood, CA
Active · expires May 8, 2027
CLIA Number05D0955411
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorSamir Sawiris, MD
Laboratory Phone(323) 469-5555
Laboratory LocationSt Anthony Medical Centers6368 Hollywood Blvd, Hollywood, CA 90028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Licensed Vocational Nurse
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Social Worker (Clinical)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Physician Assistant (Medical)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Nurse Practitioner (Family)
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Family Medicine
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028
Pharmacy (Community/Retail Pharmacy)
6368 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Psychologist (Clinical)
6368 HOLLYWOOD BLVD
HOLLYWOOD, CA 90028

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 St Anthony Medical Centers's NPI number?

The NPI number for St Anthony Medical Centers is 1063562130. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is St Anthony Medical Centers located?

St Anthony Medical Centers is located at 6368 Hollywood Blvd, Hollywood, CA 90028. The listed phone number is (323) 469-5555.

What is St Anthony Medical Centers's specialty?

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

Does St Anthony Medical Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0955411) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Anthony Medical Centers was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.