CENTRAL CITY COMMUNITY HEALTH CENTER INC
NPI 1174757967
Clinic/Center - Federally Qualified Health Center (FQHC) in Stanton, CA

Active since May 07, 2009CLIA 05D0695145 · Microscopy
12116 BEACH BLVD, STANTON, CA 90680(714) 898-2222(714) 894-9865 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Dec 13, 2022, Feb 11, 2020 and 3 more (6 updates tracked since 2018).

About Central City Community Health Center Inc NPPES

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

CENTRAL CITY COMMUNITY HEALTH CENTER INC (NPI 1174757967) is a healthcare organization registered as a federally qualified health center (fqhc) in Stanton, California and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Rosemary David Reyes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174757967
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCENTRAL CITY COMMUNITY HEALTH CENTER INC
Location Address12116 BEACH BLVDStanton, CA 90680
Mailing Address2019 Saturn StMonterey Park, CA 91755-7415 · (323) 724-0019 · Fax (323) 248-7044
Fax(714) 894-9865
Organization SubpartNo
Authorized OfficialRosemary David ReyesCeo · (714) 490-2750
Enumeration DateMay 7, 2009
Last NPPES UpdateDecember 16, 20256 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1174757967 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
License✔ Licensed in CA · 960000901
12116 BEACH BLVD, Stanton, CA 90680

Other Identifiers 1

MedicaidFHC70614FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central City Community Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Central City Community Health Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner26
Psychiatry18
Family Practice12
Internal Medicine10
Podiatry8
Clinical Social Worker4
Chiropractic3
Dentist2
5 other specialties7

Nearest to this location (20)

See all 90
Family Practice
NPI 1629173364
12116 BEACH BLVD
Stanton, CA 90680
(714) 898-2222
✔ PECOSSame address
Family Practice
NPI 1376699918
7761 GARDEN GROVE BLVD
Garden Grove, CA 92841
(714) 898-8888
✔ PECOS0.9 mi
Psychiatry
NPI 1144529926
12511 BROOKHURST ST 2 FL
Garden Grove, CA 92840
(714) 534-3681
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1598245979
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1881730240
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Family Practice
NPI 1619105327
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Psychiatry
NPI 1578862256
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Dentist
NPI 1770364200
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Dentist
NPI 1609423383
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1780178392
2237 W BALL RD
Anaheim, CA 92804
(714) 490-2750
✔ PECOS2.8 mi
Psychiatry
NPI 1215015508
5762 BOLSA AVE SUITE 107
Huntington Beach, CA 92649
(714) 898-0362
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1366514499
7851 WALKER ST STE 105
La Palma, CA 90623
(714) 266-0052
✔ PECOS✔ Accepts Medicare5.0 mi
Psychiatry
NPI 1578643656
UCI MEDICAL CENTER 101 THE CITY DRIVE SOUTH
Orange, CA 92868
(714) 456-8978
✔ PECOS✔ Accepts Medicare5.9 mi
Obstetrics/Gynecology
NPI 1023250784
11180 WARNER AVE SUITE 455
Fountain Valley, CA 92708
(714) 556-0536
✔ PECOS6.0 mi
Nurse Practitioner
NPI 1265153753
903 S BRISTOL ST STE J
Santa Ana, CA 92703
(714) 835-4552
✔ PECOS6.6 mi
Nurse Practitioner
NPI 1801161807
12900 PARK PLAZA DR STE 150
Cerritos, CA 90703
(714) 654-0786
✔ PECOS6.7 mi
Clinical Social Worker
NPI 1265085997
401 W CIVIC CENTER DR STE 700
Santa Ana, CA 92701
(714) 480-6660
✔ PECOS7.4 mi
Psychiatry
NPI 1821204900
18000 STUDEBAKER RD STE 700
Cerritos, CA 90703
(310) 668-6800
✔ PECOS8.3 mi
Family Practice
NPI 1952416604
431 N TUSTIN AVE SUITE B
Santa Ana, CA 92705
(714) 558-1124
✔ PECOS9.5 mi
Pediatric Medicine
NPI 1083715627
501 S IDAHO ST SUITE 190
La Habra, CA 90631
(562) 690-0400
✔ PECOS9.9 mi
See all 90 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0695145

Central City Community Health Center, Inc · Stanton, CA
Active · expires Jul 31, 2027
CLIA Number05D0695145
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorHao Kellene Kim Cao
Laboratory Phone(714) 898-2222
Laboratory LocationCentral City Community Health Center, Inc12116 Beach Blvd, Stanton, CA 90680
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Central City Community Health Center Inc's NPI number?

The NPI number for Central City Community Health Center Inc is 1174757967. It was assigned to this organization in the NPPES registry on May 7, 2009.

Where is Central City Community Health Center Inc located?

Central City Community Health Center Inc is located at 12116 Beach Blvd, Stanton, CA 90680. The listed phone number is (714) 898-2222.

What is Central City Community Health Center 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 Central City Community Health Center Inc enrolled in Medicare?

Yes. Central City Community Health Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central City Community Health Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 13 Medicare specialties reassign their Medicare billing to Central City Community Health Center 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. The largest specialties are Nurse Practitioner (26), Psychiatry (18) and Family Practice (12). Of these, 1 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Central City Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0695145) is associated with this NPI, valid through July 31, 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 Central City Community Health Center Inc was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.