SAN JUDAS COMMUNITY HEALTH CENTER, INC.
NPI 1184134827
Clinic/Center in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Judas Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to San Judas Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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) 05D0910778
San Judas Community Health Center, Inc · Los Angeles, CAFrequently 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.
Is San Judas Community Health Center, Inc. enrolled in Medicare?
Yes. San Judas Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Judas Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to San Judas Community Health Center, Inc., in General Practice and Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# San Judas Community Health Center, Inc. · NPI 1184134827
Clinic/Center organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 9, 2017.
## Identity
- **NPI:** 1184134827 (Entity type: Organization)
- **Enumerated:** October 9, 2017
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Nejat Rostami, CEO
## Practice location
- **Address:** 1080 N WESTERN AVE, Los Angeles, CA 90029-2310
- **Phone:** (323) 957-3737 · **Fax:** (323) 957-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), General Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184134827) · Data from the CMS NPPES public registry.