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: August 02, 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

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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
12116 BEACH BLVD
STANTON, CA 90680
Physician Assistant
12116 BEACH BLVD
STANTON, CA 90680

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.

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 7 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.