WILMINGTON COMMUNITY CLINIC
NPI 1194502443
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilmington, CA
About Wilmington Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMINGTON COMMUNITY CLINIC (NPI 1194502443) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Veronica Rodarte, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 05D0699784
Wilmington Community Clinic · Wilmington, 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 Wilmington Community Clinic's NPI number?
The NPI number for Wilmington Community Clinic is 1194502443. It was assigned to this organization in the NPPES registry on September 11, 2023.
Where is Wilmington Community Clinic located?
Wilmington Community Clinic is located at 1122 W Anaheim St, Wilmington, CA 90744. The listed phone number is (310) 549-5760.
What is Wilmington Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Wilmington Community Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0699784) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wilmington Community Clinic was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
