JORDAN WELLNESS CENTER
NPI 1114602406
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Q: What is University Muslim Medical Association Inc's specialty?

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

Active since June 15, 2023

10110 JUNIPER ST, LOS ANGELES, CA 90002(323) 789-5610(323) 789-5616 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jordan Wellness Center NPPES

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

JORDAN WELLNESS CENTER (NPI 1114602406) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since June 2023. The organization lists Alfredo Reynoso, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114602406

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUNIVERSITY MUSLIM MEDICAL ASSOCIATION INC

Location Address10110 JUNIPER STLos Angeles, CA 90002-3166

Mailing Address711 W Florence AveLos Angeles, CA 90044-6105 · (323) 789-5610

Phone(323) 789-5610

Fax(323) 789-5616

Organization SubpartNo

Authorized OfficialAlfredo ReynosoChief Operating Officer · (323) 313-5588

Enumeration DateJune 15, 2023

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1114602406 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

10110 JUNIPER ST, Los Angeles, CA 90002

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Other Names 1

Doing Business AsJordan Wellness Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jordan Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Menal Jham, MD

Family Practice

NPI 1477990810

1415 TULANE AVE
New Orleans, LA 70112

(504) 988-5263

✔ PECOS1,671 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 University Muslim Medical Association Inc's NPI number?

The NPI number for University Muslim Medical Association Inc is 1114602406. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Jordan Wellness Center.

Where is University Muslim Medical Association Inc located?

University Muslim Medical Association Inc is located at 10110 Juniper St, Los Angeles, CA 90002. The listed phone number is (323) 789-5610.

What is University Muslim Medical Association Inc's specialty?

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

Is University Muslim Medical Association Inc enrolled in Medicare?

Yes. University Muslim Medical Association Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Muslim Medical Association Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to University Muslim Medical Association 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Muslim Medical Association Inc was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.