VENICE SOUTH BAY REDONDO BEACH
NPI 1356914857
Clinic/Center - Federally Qualified Health Center (FQHC) in Redondo Beach, CA
About Venice South Bay Redondo Beach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VENICE SOUTH BAY REDONDO BEACH (NPI 1356914857) is a healthcare organization registered as a federally qualified health center (fqhc) in Redondo Beach, California and active in the NPI registry since July 2021. The organization holds a CLIA Microscopy certificate valid through March 14, 2027 and lists Mitesh G Popat, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0548498
Venice South Bay Redondo Beach Venice Family Clinic · Redondo Beach, CAOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REDONDO BEACH, CA 90278
REDONDO BEACH, CA 90278
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 Venice Family Clinic's NPI number?
The NPI number for Venice Family Clinic is 1356914857. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is also known as Venice South Bay Redondo Beach.
Where is Venice Family Clinic located?
Venice Family Clinic is located at 2114 Artesia Blvd, Redondo Beach, CA 90278. The listed phone number is (310) 802-6177.
What is Venice Family Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Venice Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0548498) is associated with this NPI, valid through March 14, 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 Venice Family Clinic was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.