BEVERLY COMMUNITY CLINIC
NPI 1144791500
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since December 11, 2018
2252 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057(213) 674-7424 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 lists John Burns, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1144791500
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEVERLY COMMUNITY CLINIC
Location Address2252 BEVERLY BLVD STE 103Los Angeles, CA 90057-2246
Mailing Address2252 Beverly Blvd Ste 103Los Angeles, CA 90057-2246 · (213) 674-7424
Organization SubpartNo
Authorized OfficialJohn BurnsChief Medical Officer · (213) 674-7424
Enumeration DateDecember 11, 2018
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1144791500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2252 BEVERLY BLVD STE 103, Los Angeles, CA 90057

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, CA
Expired · Jul 26, 2026
CLIA Number05D2151800
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorJohn Burns
Laboratory Phone(213) 252-7287
Laboratory LocationBeverly Community Clinic2252 Beverly Blvd #103, Los Angeles, CA 90057
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Community Health)
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Family Medicine
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Physician Assistant
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Physician Assistant
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Nurse Practitioner (Family)
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057

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 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.

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.