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SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
NPI 1225357114
Clinic/Center - Community Health in El Monte, CA

Active since May 18, 2010CLIA 05D0898122 · Waiver
12100 VALLEY BLVD STE 109A, EL MONTE, CA 91732(626) 575-7500(626) 575-1956 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Southern California Medical Center, Inc. NPPES

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

SOUTHERN CALIFORNIA MEDICAL CENTER, INC. (NPI 1225357114) is a healthcare organization registered as a community health in El Monte, California and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Ellie Zare, Sr. Program Manager, as its authorized official.

NPPES Registry Identity

NPI1225357114
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameSOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Location Address12100 VALLEY BLVD STE 109AEl Monte, CA 91732-3161
Mailing AddressPo Box 436Van Nuys, CA 91408-0436 · (818) 421-0809 · Fax (562) 699-7066
Phone(626) 575-7500
Fax(626) 575-1956
Organization SubpartNo
Authorized OfficialEllie ZareSr. Program Manager · (818) 650-6700
Enumeration DateMay 18, 2010
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1225357114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
12100 VALLEY BLVD STE 109A, El Monte, CA 91732
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D0898122

Southern California Medical Centers, Inc · El Monte, CA
Active · expires Jan 9, 2027
CLIA Number05D0898122
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorAllen Hassen
Laboratory Phone(626) 575-7500
Laboratory LocationSouthern California Medical Centers, Inc12100 Valley Blvd Suite 109A, El Monte, CA 91732
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MRS. LIEN TRINH TRAN PA
Physician Assistant
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Los Angeles County (626) 575-7500
MARWA NEVENNA AHADY PA-C
Physician Assistant
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Los Angeles County (626) 575-7500
SOUTHERN CALIFORNIA MEDICAL CENTER
Clinic/Center
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Los Angeles County (626) 575-7500
MR. NERMAN PIMENTEL PTA
Physical Therapist
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Los Angeles County (626) 575-7500

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 Southern California Medical Center, Inc.'s NPI number?

The NPI number for Southern California Medical Center, Inc. is 1225357114. It was assigned to this organization in the NPPES registry on May 18, 2010.

Where is Southern California Medical Center, Inc. located?

Southern California Medical Center, Inc. is located at 12100 Valley Blvd Ste 109A, El Monte, CA 91732. The listed phone number is (626) 575-7500.

What is Southern California Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Southern California Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0898122) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern California Medical Center, Inc. was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.