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COMPLETE CARE FAMILY MEDICAL CLINIC
NPI 1366398364
Family Medicine in Wilmington, CA

Active since March 10, 2026CLIA 05D0906594 · Waiver
1231 N AVALON BLVD, WILMINGTON, CA 90744(310) 835-5000(310) 835-6520 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Complete Care Family Medical Clinic NPPES

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

COMPLETE CARE FAMILY MEDICAL CLINIC (NPI 1366398364) is a healthcare organization registered as a family medicine in Wilmington, California and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Homan Siman, Pcp, as its authorized official.

NPPES Registry Identity

NPI1366398364
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMPLETE CARE FAMILY MEDICAL CLINIC
Location Address1231 N AVALON BLVDWilmington, CA 90744-2601
Mailing Address1231 N Avalon BlvdWilmington, CA 90744-2601 · (310) 835-5000 · Fax (310) 835-6520
Phone(310) 835-5000
Fax(310) 835-6520
Organization SubpartNo
Authorized OfficialHoman SimanPcp · (310) 835-5000
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1366398364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1231 N AVALON BLVD, Wilmington, CA 90744
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 05D0906594

Complete Care Family Medical Clinic · Wilmington, CA
Active · expires Dec 7, 2027
CLIA Number05D0906594
Laboratory TypeIndependent
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorHoman Siman
Laboratory Phone(310) 835-1486
Laboratory LocationComplete Care Family Medical Clinic1231 N Avalon Blvd, Wilmington, CA 90744
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

EHSAN MONTAZERI MD
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (301) 835-7215
GAM NGUYEN HONG PHAM PA-C
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-5000
AIMI TON PA-C
Physician Assistant (Medical)
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-5000
COMPLETE CARE FAMILY MEDICAL CLINIC
Family Medicine
1231 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 835-7215

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 Complete Care Family Medical Clinic's NPI number?

The NPI number for Complete Care Family Medical Clinic is 1366398364. It was assigned to this organization in the NPPES registry on March 10, 2026.

Where is Complete Care Family Medical Clinic located?

Complete Care Family Medical Clinic is located at 1231 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 835-5000.

What is Complete Care Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Complete Care Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0906594) is associated with this NPI, valid through December 7, 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 Complete Care Family Medical Clinic was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.