WINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION
NPI 1164567426
Clinic/Center - Primary Care in Barstow, CA

Active since February 21, 2007CLIA 05D0970431 · Waiver
500 S 7TH AVE STE A, BARSTOW, CA 92311(760) 255-2400(760) 957-7517 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Windy City Medical Clinic Professional Corporation NPPES

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

WINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION (NPI 1164567426) is a healthcare organization registered as a primary care in Barstow, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Kathy A Alva, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164567426
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWINDY CITY MEDICAL CLINIC PROFESSIONAL CORPORATION
Location Address500 S 7TH AVE STE ABarstow, CA 92311-3057
Mailing AddressPo Box 1946Barstow, CA 92312-1946 · (760) 255-2400 · Fax (760) 957-7517
Fax(760) 957-7517
Organization SubpartNo
Authorized OfficialKathy A AlvaBilling Office Manager · (760) 403-8758
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1164567426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
500 S 7TH AVE STE A, Barstow, CA 92311

Other Identifiers 1

Medicaid00G778041CA

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 05D0970431

Windy City Medical Clinic · Barstow, CA
Active · expires Feb 13, 2028
CLIA Number05D0970431
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorKevin A. Smith MD
Laboratory Phone(760) 255-2400
Laboratory LocationWindy City Medical Clinic500 S 7th Ave Ste A, Barstow, CA 92311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
500 S 7TH AVE STE A
BARSTOW, CA 92311

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 Windy City Medical Clinic Professional Corporation's NPI number?

The NPI number for Windy City Medical Clinic Professional Corporation is 1164567426. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Windy City Medical Clinic Professional Corporation located?

Windy City Medical Clinic Professional Corporation is located at 500 S 7th Ave Ste A, Barstow, CA 92311. The listed phone number is (760) 255-2400.

What is Windy City Medical Clinic Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Windy City Medical Clinic Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0970431) is associated with this NPI, valid through February 13, 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 Windy City Medical Clinic Professional Corporation was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.