BEVERLY COMMUNITY CLINIC
NPI 1144791500
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About Beverly Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEVERLY COMMUNITY CLINIC (NPI 1144791500) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through July 26, 2028 and lists John Burns, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beverly Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Beverly Community Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: 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
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 05D2151800
Beverly Community Clinic · 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 Beverly Community Clinic's NPI number?
The NPI number for Beverly Community Clinic is 1144791500. It was assigned to this organization in the NPPES registry on December 11, 2018.
Where is Beverly Community Clinic located?
Beverly Community Clinic is located at 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057. The listed phone number is (213) 674-7424.
What is Beverly Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Beverly Community Clinic enrolled in Medicare?
Yes. Beverly Community Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beverly Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Beverly Community Clinic. 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 (3), Family Practice (2) and Geriatric Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Beverly Community Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2151800) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Beverly Community Clinic was last updated on March 19, 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.
# Beverly Community Clinic · NPI 1144791500
Federally Qualified Health Center (FQHC) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 11, 2018.
## Identity
- **NPI:** 1144791500 (Entity type: Organization)
- **Enumerated:** December 11, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** John Burns, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 2252 BEVERLY BLVD STE 103, Los Angeles, CA 90057-2246
- **Phone:** (213) 674-7424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Geriatric Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144791500) · Data from the CMS NPPES public registry.