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SAN JUDAS COMMUNITY HEALTH CENTER, INC.
NPI 1184134827
Clinic/Center in Los Angeles, CA

Active since October 09, 2017CLIA 05D0910778 · Microscopy
1080 N WESTERN AVE, LOS ANGELES, CA 90029(323) 957-3737(323) 957-3700 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Judas Community Health Center, Inc. NPPES

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

SAN JUDAS COMMUNITY HEALTH CENTER, INC. (NPI 1184134827) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since October 2017. The organization holds a CLIA Microscopy certificate valid through January 20, 2028 and lists Nejat Rostami, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184134827
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN JUDAS COMMUNITY HEALTH CENTER, INC.
Location Address1080 N WESTERN AVELos Angeles, CA 90029-2310
Mailing Address1080 N Western AveLos Angeles, CA 90029-2310 · (323) 957-3737 · Fax (323) 957-3700
Phone(323) 957-3737
Fax(323) 957-3700
Organization SubpartNo
Authorized OfficialNejat RostamiCeo · (310) 780-4674
Enumeration DateOctober 9, 2017
✔ NPI 1184134827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1080 N WESTERN AVE, Los Angeles, CA 90029
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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) 05D0910778

San Judas Community Health Center, Inc · Los Angeles, CA
Active · expires Jan 20, 2028
CLIA Number05D0910778
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorNejat Rostami
Laboratory Phone(323) 957-8787
Laboratory LocationSan Judas Community Health Center, Inc1080 N Western Ave, Los Angeles, CA 90029
CLIA data matches this NPI record on: Address Name
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 9

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

SAN JUDAS MEDICAL GROUP WEST
Specialist
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
DR. ANITA RENAU BRALOCK CNM
Advanced Practice Midwife
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-3737
NEJAT ROSTAMI M.D.
Specialist
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
MS. JACKLYN JUMP FNP-C
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
N. ROSTAMI MEDICAL GROUP, INC.
Clinical Medical Laboratory
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
DR. BENJAMIN ROSTAMI MD
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (310) 963-3035
SANCHITA DAS FNP
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
BABAK BOBBY ROSTAMI M.D. INTERNAL MEDICI
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787

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 San Judas Community Health Center, Inc.'s NPI number?

The NPI number for San Judas Community Health Center, Inc. is 1184134827. It was assigned to this organization in the NPPES registry on October 9, 2017.

Where is San Judas Community Health Center, Inc. located?

San Judas Community Health Center, Inc. is located at 1080 N Western Ave, Los Angeles, CA 90029. The listed phone number is (323) 957-3737.

What is San Judas Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does San Judas Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0910778) is associated with this NPI, valid through January 20, 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 San Judas Community Health Center, Inc. was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.