CCMC/COMMUNITY CARE MEDICAL CENTER
NPI 1265093520
Clinic/Center in North Hollywood, CA
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ccmc/community Care Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Ccmc/Community Care Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 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.
Is Community Care Medical Center Inc. enrolled in Medicare?
Yes. Community Care Medical Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Care Medical Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Care Medical Center Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Ccmc/community Care Medical Center · NPI 1265093520
Clinic/Center organization in North Hollywood, California. Organization record, active in the CMS NPPES registry since June 26, 2019.
## Identity
- **NPI:** 1265093520 (Entity type: Organization)
- **Enumerated:** June 26, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Community Care Medical Center Inc.
- **Organization subpart:** No
- **Authorized official:** Wendi Rodriguez, CEO/ADMINISTRATOR
## Practice location
- **Address:** 13118 SHERMAN WAY, North Hollywood, CA 91605
- **Phone:** (818) 308-6318 · **Fax:** (818) 308-6373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1265093520) · Data from the CMS NPPES public registry.