VENICE SOUTH BAY REDONDO BEACH
NPI 1356914857
Clinic/Center - Federally Qualified Health Center (FQHC) in Redondo Beach, CA

Active since July 21, 2021CLIA 05D0548498 · Microscopy
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278(310) 802-6177(310) 802-6178 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Sep 29, 2021, Jul 21, 2021 (3 updates tracked since 2021).

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

NPI1356914857
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address2114 ARTESIA BLVDRedondo Beach, CA 90278-3014
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Fax(310) 802-6178
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJuly 21, 2021
Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1356914857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2114 ARTESIA BLVD, Redondo Beach, CA 90278

Other Names 1

Other NameVenice South Bay Redondo Beach

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CA
Active · expires Mar 14, 2027
CLIA Number05D0548498
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorCesar L. Barba
Laboratory Phone(310) 664-7667
Laboratory LocationVenice South Bay Redondo Beach Venice Family Clinic2114 Artesia Blvd, Redondo Beach, CA 90278
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Internal Medicine
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Family Medicine
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Case Manager/Care Coordinator
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Dentist (General Practice)
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Nurse Practitioner (Family)
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Clinic/Center (Federally Qualified Health Center (FQHC))
2114 ARTESIA BLVD
REDONDO BEACH, CA 90278
Physician Assistant
2114 ARTESIA BLVD
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.