MISSION CITY COMMUNITY NETWORK, INC.
NPI 1063795250
Clinic/Center - Primary Care in Monrovia, CA
About Mission City Community Network, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION CITY COMMUNITY NETWORK, INC. (NPI 1063795250) is a healthcare organization registered as a primary care in Monrovia, California and active in the NPI registry since September 2011. The organization holds 3 active CLIA laboratory certificates and lists Nik Gupta, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission City Community Network, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
145Medicare enrollment records show 145 clinicians reassign Medicare billing to Mission City Community Network, Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 145Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 05D2305490
Mission City Community Network, Inc. · Barstow, CACertificate of Waiver 05D2318025
Mission City Community Network - Corona Clinic · Corona, CACertificate of Waiver 05D2315361
Mission City Community Network Inc - Wilshire · Los Angeles, CAFrequently 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 Mission City Community Network, Inc.'s NPI number?
The NPI number for Mission City Community Network, Inc. is 1063795250. It was assigned to this organization in the NPPES registry on September 23, 2011.
Where is Mission City Community Network, Inc. located?
Mission City Community Network, Inc. is located at 513 E Lime Ave Suite 103, Monrovia, CA 91016. The listed phone number is (818) 895-3100.
What is Mission City Community Network, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mission City Community Network, Inc. enrolled in Medicare?
Yes. Mission City Community Network, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission City Community Network, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 13 Medicare specialties reassign their Medicare billing to Mission City Community Network, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (45), Clinical Psychologist (25) and Clinical Social Worker (20). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mission City Community Network, Inc. hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Mission City Community Network, Inc. was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Mission City Community Network, Inc. · NPI 1063795250
Primary Care organization in Monrovia, California. Organization record, active in the CMS NPPES registry since September 23, 2011.
## Identity
- **NPI:** 1063795250 (Entity type: Organization)
- **Enumerated:** September 23, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Nik Gupta, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 513 E LIME AVE, SUITE 103, Monrovia, CA 91016-2982
- **Phone:** (818) 895-3100 · **Fax:** (818) 893-9464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 145 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (45), Clinical Psychologist (25), Clinical Social Worker (20); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1063795250/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2011
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063795250) · Data from the CMS NPPES public registry.