CCCMA
NPI 1174955587
Long Term Care Hospital in Millbrae, CA
About Cccma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CCCMA (NPI 1174955587) is a healthcare organization registered as a long term care hospital in Millbrae, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Ash Jain, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 05D0935616
Cccma Occupational Clinic · Hayward, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cccma's NPI number?
The NPI number for Cccma is 1174955587. It was assigned to this organization in the NPPES registry on August 7, 2013.
Where is Cccma located?
Cccma is located at 1149 Fernwood Dr, Millbrae, CA 94030. The listed phone number is (650) 302-5864.
What is Cccma's specialty?
The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.
Does Cccma hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0935616) is associated with this NPI, valid through November 2, 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 Cccma was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Cccma · NPI 1174955587
Long Term Care Hospital organization in Millbrae, California. Organization record, active in the CMS NPPES registry since August 7, 2013.
## Identity
- **NPI:** 1174955587 (Entity type: Organization)
- **Enumerated:** August 7, 2013
- **Primary specialty:** Long Term Care Hospital · taxonomy 282E00000X
- **Organization subpart:** No
- **Authorized official:** Ash Jain, CEO
## Practice location
- **Address:** 1149 FERNWOOD DR, Millbrae, CA 94030-1011
- **Phone:** (650) 302-5864
## Record status
- **NPPES last updated:** August 7, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174955587) · Data from the CMS NPPES public registry.