THE ACHIEVABLE FOUNDATION
NPI 1164771747
Clinic/Center - Federally Qualified Health Center (FQHC) in Culver City, CA

Active since August 29, 2012CLIA 05D2049101 · Waiver
5901 GREEN VALLEY CIR, SUITE 405, CULVER CITY, CA 90230(424) 266-7474(310) 596-8268 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2025, Oct 23, 2023 (2 updates tracked since 2023).

About The Achievable Foundation NPPES

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

THE ACHIEVABLE FOUNDATION (NPI 1164771747), doing business as Achievable Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Culver City, California and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Carmen Ibarra, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1164771747
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE ACHIEVABLE FOUNDATION
Location Address5901 GREEN VALLEY CIR, SUITE 405Culver City, CA 90230-6938
Mailing Address100 Corporate Pointe Ste 270Culver City, CA 90230-8735 · (424) 266-7472 · Fax (310) 596-8268
Fax(310) 596-8268
Organization SubpartNo
Authorized OfficialCarmen IbarraC.e.o. · (424) 266-7476
Enumeration DateAugust 29, 2012
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1164771747 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
5901 GREEN VALLEY CIR, Culver City, CA 90230

Other Names 1

Doing Business AsAchievable Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Achievable Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to The Achievable Foundation, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Psychiatry
NPI 1942446380
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Family Practice
NPI 1659309763
5901 GREEN VALLEY CIR SUITE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Family Practice
NPI 1235430018
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(244) 266-7474
✔ PECOSSame address
Nurse Practitioner
NPI 1508690603
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Family Practice
NPI 1053040709
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Clinical Social Worker
NPI 1144771932
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Pediatric Medicine
NPI 1124472592
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Nurse Practitioner
NPI 1649942343
5901 GREEN VALLEY CIR STE 405
Culver City, CA 90230
(424) 266-7474
✔ PECOSSame address
Infectious Disease
NPI 1841285277
200 CORPORATE POINTE STE 50
Culver City, CA 90230
(424) 266-7474
✔ PECOS0.6 mi

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 05D2049101

The Achievable Foundation · Culver City, CA
Active · expires Feb 3, 2027
CLIA Number05D2049101
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorMichelle L. Catanzarite
Laboratory Phone(424) 266-7476
Laboratory LocationThe Achievable Foundation200 Corporate Pointe Ste 50, Culver City, CA 90230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Achievable Foundation's NPI number?

The NPI number for The Achievable Foundation is 1164771747. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider is doing business as Achievable Health.

Where is The Achievable Foundation located?

The Achievable Foundation is located at 5901 Green Valley Cir Suite 405, Culver City, CA 90230. The listed phone number is (424) 266-7474.

What is The Achievable Foundation's specialty?

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

Is The Achievable Foundation enrolled in Medicare?

Yes. The Achievable Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Achievable Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to The Achievable Foundation. 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 Family Practice (3), Nurse Practitioner (2) and Clinical Social Worker (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Achievable Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2049101) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Achievable Foundation was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.