EL DORADO COMMUNITY SERVICE CENTER
NPI 1316039241
Clinic/Center - Primary Care in Lawndale, CA

Active since September 28, 2006CLIA 05D0951364 · Waiver
4023 MARINE AVE, LAWNDALE, CA 90260(310) 675-9555 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Jan 3, 2020, Jan 31, 2017 (3 updates tracked since 2017).

About El Dorado Community Service Center NPPES

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

EL DORADO COMMUNITY SERVICE CENTER (NPI 1316039241), doing business as El Dorado-lawndale, is a healthcare organization registered as a primary care in Lawndale, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Cynthia Ann Blanks, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316039241
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEL DORADO COMMUNITY SERVICE CENTER
Location Address4023 MARINE AVELawndale, CA 90260-1840
Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (661) 254-6630
Organization SubpartNo
Authorized OfficialCynthia Ann BlanksExecutive Director · (661) 254-6630
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1316039241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 960000924
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
4023 MARINE AVE, Lawndale, CA 90260

Other Names 1

Doing Business AsEl Dorado-lawndale

Other Identifiers 2

MedicaidCMM70643FCA
Medicaid19-136CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

El Dorado Community Service Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to El Dorado Community Service Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Internal Medicine4
Family Practice2
General Practice2
Psychiatry1

Clinicians, nearest first (15)

Psychiatry
NPI 1417972167
4450 W CENTURY BLVD
Inglewood, CA 90304
(310) 671-0555
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1649804972
11900 AVALON BLVD
Los Angeles, CA 90061
(323) 756-1317
✔ PECOS5.0 mi
General Practice
NPI 1750428496
100 E MARKET ST
Long Beach, CA 90805
(562) 428-4222
✔ PECOS9.1 mi
Nurse Practitioner
NPI 1396257382
5831 FIRESTONE BLVD STE E
South Gate, CA 90280
(562) 806-7545
✔ PECOS11 mi
Family Practice
NPI 1992960462
2001 SANTA MONICA BLVD STE 490W
Santa Monica, CA 90404
(310) 359-6790
✔ PECOS12 mi
Nurse Practitioner
NPI 1689038507
6245 DELONGPRE AVE 2ND FLOOR
Los Angeles, CA 90028
(888) 783-1883
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1215253885
21750 CENTER COURT DR. S SUITE 650
Cerritos, CA 90703
(323) 628-8671
✔ PECOS16 mi
Nurse Practitioner
NPI 1407254881
12340 SEAL BEACH BLVD # B-187
Seal Beach, CA 90740
(310) 864-8885
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1033296629
15111 WHITTIER BLVD STE 102
Whittier, CA 90603
(562) 945-6440
✔ PECOS✔ Accepts Medicare20 mi
Internal Medicine
NPI 1023293016
6265 SEPULVEDA BLVD STE 9 & 10
Van Nuys, CA 91411
(818) 779-0555
✔ PECOS✔ Accepts Medicare21 mi
General Practice
NPI 1700227931
1023 E FLORIDA AVE
Hemet, CA 92543
(951) 599-8403
✔ PECOS80 mi
Nurse Practitioner
NPI 1518415546
1860 MOWRY AVE STE 400
Fremont, CA 94538
(510) 770-8040
✔ PECOS✔ Accepts Medicare325 mi
Internal Medicine
NPI 1366714925
915 BRYANT ST
San Francisco, CA 94103
(415) 777-9953
✔ PECOS351 mi
Internal Medicine
NPI 1063517506
1230 E 1ST ST
Casper, WY 82601
(307) 266-3174
✔ PECOS898 mi
Family Practice
NPI 1952479396
5841 JOANNE DR APT. NO. 208
Racine, WI 53406
(951) 536-1910
✔ PECOS1,754 mi

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 05D0951364

El Dorado Community Service Center · Lawndale, CA
Active · expires Feb 11, 2027
CLIA Number05D0951364
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorMichael Yadegari
Laboratory Phone(310) 675-9555
Laboratory LocationEl Dorado Community Service Center4023 Marine Ave, Lawndale, CA 90260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 El Dorado Community Service Center's NPI number?

The NPI number for El Dorado Community Service Center is 1316039241. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as El Dorado-Lawndale.

Where is El Dorado Community Service Center located?

El Dorado Community Service Center is located at 4023 Marine Ave, Lawndale, CA 90260. The listed phone number is (310) 675-9555.

What is El Dorado Community Service Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is El Dorado Community Service Center enrolled in Medicare?

Yes. El Dorado Community Service Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through El Dorado Community Service Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to El Dorado Community Service Center. 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 (6), Internal Medicine (4) and Family Practice (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does El Dorado Community Service Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0951364) is associated with this NPI, valid through February 11, 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 El Dorado Community Service Center was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.