CENTRO MEDICO COMMUNITY CLINIC, INC
NPI 1073310355
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

NPI Status: Active since February 25, 2025

Contact Information

11900 AVALON BLVD STE 100
LOS ANGELES, CA
ZIP 90061
Phone: (951) 278-8910

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About CENTRO MEDICO COMMUNITY CLINIC, INC

This page provides the complete NPI Profile along with additional information for Centro Medico Community Clinic, Inc, a primary care provider established in Los Angeles, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1073310355 assigned on February 2025. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Samar Masri (Hr Director)

NPI
1073310355
Provider Name
CENTRO MEDICO COMMUNITY CLINIC, INC
Entity Type
Organization
Location Address
11900 AVALON BLVD STE 100 LOS ANGELES, CA 90061
Location Phone
(951) 278-8910
Mailing Address
1303 W 6TH ST STE 102 CORONA, CA 92882
Mailing Phone
(951) 278-8910
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-25-2025
Last Update Date
04-10-2026
Code Navigator

A primary care provider (PCP) like Centro Medico Community Clinic, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMAR MASRI

Authorized Official Title
HR DIRECTOR
Authorized Official Phone
(951) 278-8910

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073310355, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 6 + 1 + 0 + 3 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073310355.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Primary Care)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
General Practice
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Family)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Family)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Psychiatric/Mental Health)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Nurse Practitioner (Psychiatric/Mental Health)
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061
Internal Medicine
11900 AVALON BLVD STE 100
LOS ANGELES, CA 90061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073310355, enumerated as an "organization" on February 25, 2025.

The provider is located at 11900 AVALON BLVD STE 100 LOS ANGELES, CA 90061 and the phone number is (951) 278-8910.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).