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CCMC/COMMUNITY CARE MEDICAL CENTER
NPI 1265093520
Clinic/Center in North Hollywood, CA

Active since June 26, 2019CLIA 05D2174999 · Waiver
13118 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605(818) 308-6318(818) 308-6373 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Apr 12, 2021 (2 updates tracked since 2021).

About Ccmc/community Care Medical Center NPPES

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

CCMC/COMMUNITY CARE MEDICAL CENTER (NPI 1265093520) is a healthcare organization registered as a clinic/center in North Hollywood, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Wendi M. Rodriguez, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1265093520
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOMMUNITY CARE MEDICAL CENTER INC.
Location Address13118 SHERMAN WAYNorth Hollywood, CA 91605
Mailing Address13118 Sherman WayNorth Hollywood, CA 91605 · (818) 308-6318 · Fax (818) 308-6373
Phone(818) 308-6318
Fax(818) 308-6373
Organization SubpartNo
Authorized OfficialWendi M. RodriguezCeo/administrator · (818) 308-6318
Enumeration DateJune 26, 2019
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1265093520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
13118 SHERMAN WAY, North Hollywood, CA 91605
Open in Google Maps ↗

Other Names 1

Doing Business AsCcmc/community Care Medical Center

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 05D2174999

Community Care Medical Center Inc · North Hollywood, CA
Active · expires Nov 12, 2027
CLIA Number05D2174999
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorLeland Dao
Laboratory Phone(818) 308-6318
Laboratory LocationCommunity Care Medical Center Inc13118 Sherman Way, North Hollywood, CA 91605
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 3

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

JESSICA CUESTA
Nurse Practitioner (Family)
13118 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605
Los Angeles County (818) 308-6318
VALLEY MEDICAL CLINIC INC
General Practice
13118 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605
Los Angeles County (818) 255-5460
MR. JEAN-PIERRE NDIKURIYO PA-C
Physician Assistant
13118 SHERMAN WAY
NORTH HOLLYWOOD, CA 91605
Los Angeles County (818) 255-5382

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 Community Care Medical Center Inc.'s NPI number?

The NPI number for Community Care Medical Center Inc. is 1265093520. It was assigned to this organization in the NPPES registry on June 26, 2019. The provider is doing business as Ccmc/Community Care Medical Center.

Where is Community Care Medical Center Inc. located?

Community Care Medical Center Inc. is located at 13118 Sherman Way, North Hollywood, CA 91605. The listed phone number is (818) 308-6318.

What is Community Care Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Community Care Medical Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2174999) is associated with this NPI, valid through November 12, 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 Community Care Medical Center Inc. was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.