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VENICE FAMILY CLINIC ACCESS CENTER
NPI 1205100468
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Monica, CA

Active since March 05, 2012CLIA Certified · 3 labs
503 OLYMPIC BLVD, SANTA MONICA, CA 90401(310) 392-8636 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Venice Family Clinic Access Center NPPES

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

VENICE FAMILY CLINIC ACCESS CENTER (NPI 1205100468) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Monica, California and active in the NPI registry since March 2012. The organization holds 3 active CLIA laboratory certificates and lists Carmen Ibarra, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1205100468
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address503 OLYMPIC BLVDSanta Monica, CA 90401-3311
Mailing Address604 Rose AveVenice, CA 90291-2767
Phone(310) 392-8636
Organization SubpartNo
Authorized OfficialCarmen IbarraChief Operating Officer · (310) 664-7667
Enumeration DateMarch 5, 2012
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1205100468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 960000960 (CA)
503 OLYMPIC BLVD, Santa Monica, CA 90401
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Other Names 1

Other NameVenice Family Clinic Access Center

CLIA Laboratory Certificates CMS CLIA 3

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) 05D0549005

Venice Family Clinic · Venice, CA
Active · expires Aug 13, 2027
CLIA Number05D0549005
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorBlanca G. Andres
Laboratory Phone(310) 664-7667
Laboratory LocationVenice Family Clinic604 Rose Avenue, Venice, CA 90291
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.

Certificate of Waiver 05D1045744

Venice Family Clinic - Colen Family Health Center · Culver City, CA
Active · expires Sep 20, 2027
CLIA Number05D1045744
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorLisa Moore
Laboratory Phone(310) 664-7667
Laboratory LocationVenice Family Clinic - Colen Family Health Center4700 Inglewood Blvd Ste 102, Culver City, CA 90230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0988400

Venice Family Clinic - Robert Levine Fam Health · Venice, CA
Active · expires Jun 26, 2027
CLIA Number05D0988400
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorBlanca G. Andres
Laboratory Phone(310) 664-7667
Laboratory LocationVenice Family Clinic - Robert Levine Fam Health905 Venice Blvd, Venice, CA 90291
CLIA data matches this NPI record on: 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 11

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

ALEX ELLIOTT
Case Manager/Care Coordinator
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050
DANTE HARRINGTON
Student in an Organized Health Care Education/Training Program
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4059
BRITTNEY J BUCHANAN
Psychologist
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050
LINDA HERNANDEZ
Case Manager/Care Coordinator
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050
KEVIN EARL GOINS
Case Manager/Care Coordinator
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050
BRITTANY BRUMFIELD
Case Manager/Care Coordinator
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 535-1500
ROBYN REDDELL LCSW
Social Worker (Clinical)
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050
THE PEOPLE CONCERN
Community/Behavioral Health
503 OLYMPIC BLVD
SANTA MONICA, CA 90401
Los Angeles County (310) 450-4050

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 Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1205100468. It was assigned to this organization in the NPPES registry on March 5, 2012. The provider is also known as Venice Family Clinic Access Center.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 503 Olympic Blvd, Santa Monica, CA 90401. The listed phone number is (310) 392-8636.

What is Venice Family 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 Venice Family Clinic hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Venice Family Clinic was last updated on September 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.