JWCH INSTITUTE, INC.
NPI 1215206503
Clinic/Center - Federally Qualified Health Center (FQHC) in Commerce, CA

NPI Status: Active since December 15, 2011

Contact Information

5650 JILLSON ST
COMMERCE, CA
ZIP 90040
Phone: (323) 201-4516
Fax: (323) 215-0170

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Federally Qualified Health Center (FQHC)
CLIA Number: 05D1055562
CLIA Cert. Type: Mobile Laboratory
CLIA Exp. Date: 06-20-2026

About JWCH INSTITUTE, INC.

This page provides the complete NPI Profile along with additional information for Jwch Institute, Inc., a primary care provider established in Commerce, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1215206503 assigned on December 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Al Ballesteros (Ceo)

NPI: 1215206503
Provider Name: JWCH INSTITUTE, INC.
Entity Type: Organization
Location Address: 5650 JILLSON ST COMMERCE, CA 90040
Location Phone: (323) 201-4516
Location Fax: (323) 215-0170
Mailing Address: 1910 W SUNSET BLVD SUITE 650 LOS ANGELES, CA 90026
Mailing Phone: (213) 484-1186
Mailing Fax: (323) 215-0170
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-15-2011
Last Update Date: 03-11-2022
Code Navigator

A primary care provider (PCP) like Jwch Institute, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

1910 W Sunset Blvd suite 650
Los Angeles, CA 90026
(213) 484-1186

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Federally Qualified Health Center (FQHC)
Taxonomy Code: 261QF0400X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	171M00000X	Other Service Providers	Case Manager/Care Coordinator

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: AL BALLESTEROS
Authorized Official Title: CEO
Authorized Official Phone: (213) 484-1186

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D1055562
Facility Type: Mobile Laboratory
Certificate Effective Date: June 21, 2024
Certificate Expiration Date: June 20, 2026
Laboratory Director: PAUL G. GREGERSON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Jwch Institute, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	2	0	6	5	0	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	4	0	12	5	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 0 + 1 + 2 + 5 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3									3

The NPI number 1215206503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.