QUEENS CARE FAMILY CLINIC
NPI 1104813146
Clinic/Center - Community Health in Los Angeles, CA
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 05D0899572
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-02-2027
About QUEENS CARE FAMILY CLINIC
This page provides the complete NPI Profile along with additional information for Queens Care Family Clinic, a primary care provider established in Los Angeles, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1104813146 assigned on October 2005. The practitioner's primary taxonomy code is 261QC1500X with license number 510678 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Paula L Situ Msn (Family Nurse Practitioner)
- NPI
- 1104813146 Verify this NPI
- Provider Name
- QUEENS CARE FAMILY CLINIC
- Entity Type
- Organization
- Location Address
- 150 N RENO ST LOS ANGELES, CA 90026
- Location Phone
- (213) 380-7298
- Location Fax
- (213) 384-0951
- Mailing Address
- 150 N RENO ST LOS ANGELES, CA 90026
- Mailing Phone
- (213) 380-7298
- Mailing Fax
- (213) 384-0951
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2005
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Queens Care Family Clinic 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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 510678
- License State
- CA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0899572
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 03, 2025
- Certificate Expiration Date
- April 02, 2027
- Laboratory Director
- DEANAH A. JIBRIL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Queens Care Family Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104813146, enumerated as an "organization" on October 04, 2005.
The provider is located at 150 N RENO ST LOS ANGELES, CA 90026 and the phone number is (213) 380-7298.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
