LOCKE WELLNESS CENTER
NPI 1104246362
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About Locke Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOCKE WELLNESS CENTER (NPI 1104246362) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists David Brumlage, Assistant Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 05D0949577
Watts Healthcare Corporation · Los Angeles, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90061
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 Watts Healthcare Corporation's NPI number?
The NPI number for Watts Healthcare Corporation is 1104246362. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider is doing business as Locke Wellness Center.
Where is Watts Healthcare Corporation located?
Watts Healthcare Corporation is located at 316 E 111th St, Los Angeles, CA 90061. The listed phone number is (323) 568-3093.
What is Watts Healthcare Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Watts Healthcare Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0949577) is associated with this NPI, valid through July 10, 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 Watts Healthcare Corporation was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Locke Wellness Center · NPI 1104246362
Federally Qualified Health Center (FQHC) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 25, 2014.
## Identity
- **NPI:** 1104246362 (Entity type: Organization)
- **Enumerated:** April 25, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Watts Healthcare Corporation
- **Organization subpart:** Yes (part of Watts Healthcare Corporation)
- **Authorized official:** David Brumlage, ASSISTANT CONTROLLER
## Practice location
- **Address:** 316 E 111TH ST, Los Angeles, CA 90061-3004
- **Phone:** (323) 568-3093
## Record status
- **NPPES last updated:** May 23, 2023
- **Other identifiers:** Medicaid 1104246362 (CA); Medicaid 1477649119 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104246362) · Data from the CMS NPPES public registry.