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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: July 26, 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
Phone(310) 675-9555
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
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Other Names 1

Doing Business AsEl Dorado-lawndale

Other Identifiers 2

MedicaidCMM70643FCA
Medicaid19-136CA

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.

Other Providers at the Same Location NPPES 15

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

DELORES ICE
Counselor (Addiction (Substance Use Disorder))
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
TERRIE DOYLE
Counselor (Addiction (Substance Use Disorder))
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
LAKEYSHER SWANTIMA WHITFELD
Counselor (Addiction (Substance Use Disorder))
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
MRS. MARY JOSEPHINE GREENDALE LVN
Licensed Vocational Nurse
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
LATRICE HAMILTON LVN
Licensed Vocational Nurse
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
PORCIA FERGUSON RAS
Counselor
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
BRENDA JORDAN
Counselor (Addiction (Substance Use Disorder))
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555
MR. JAMES SCOTT TURAN COUNSELOR
Counselor (Addiction (Substance Use Disorder))
4023 MARINE AVE
LAWNDALE, CA 90260
Los Angeles County (310) 675-9555

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.

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 with the weekly NPPES data releases published by CMS.