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CONCENTRA
NPI 1396100798
Specialist in Los Angeles, CA

Active since December 30, 2015CLIA Certified · 2 labs
6033 W CENTURY BLVD, LOS ANGELES, CA 90045(310) 258-0684 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concentra NPPES

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

CONCENTRA (NPI 1396100798) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since December 2015. The organization holds 2 active CLIA laboratory certificates and lists Olivia Hernandez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1396100798
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCONCENTRA
Location Address6033 W CENTURY BLVDLos Angeles, CA 90045-6410
Mailing Address6033 W Century BlvdLos Angeles, CA 90045-6410
Phone(310) 258-0684
Organization SubpartNo
Authorized OfficialOlivia HernandezCredentialing Specialist · (972) 364-8253
Enumeration DateDecember 30, 2015
✔ NPI 1396100798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 43478
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6033 W CENTURY BLVD, Los Angeles, CA 90045
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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 2

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 05D0944388

Concentra Medical Centers - Airport Lax · Los Angeles, CA
Active · expires Apr 2, 2027
CLIA Number05D0944388
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorJoel Myers
Laboratory Phone(310) 215-1600
Laboratory LocationConcentra Medical Centers - Airport Lax6033 W Century Blvd Ste 200, Los Angeles, CA 90045
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1061263

Concentra Medical Centers - Century Airport · Los Angeles, CA
Active · expires Nov 13, 2026
CLIA Number05D1061263
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorGregory Thier
Laboratory Phone(310) 215-6020
Laboratory LocationConcentra Medical Centers - Century Airport5901 W Century Blvd, Los Angeles, CA 90045
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

BRIDGET OGWONUWE
Durable Medical Equipment & Medical Supplies
6033 W CENTURY BLVD, SUITE 400 (RM1142)
LOS ANGELES, CA 90045
Los Angeles County (310) 649-7545
KIMBERLEIGH L HUTCHINS OT
Occupational Therapist
6033 W CENTURY BLVD, SUITE 200 & 201
LOS ANGELES, CA 90045
Los Angeles County (615) 778-4066
FRANCES SABETFARD
Physician Assistant
6033 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 215-1600
CHARLENE C DENOVA P.T.
Physical Therapist
6033 W CENTURY BLVD, SUITE 200 AND 201
LOS ANGELES, CA 90045
Los Angeles County (615) 778-4066
ELIZA BANTOLO PT
Physical Therapist
6033 W CENTURY BLVD, SUITE 200 & 201
LOS ANGELES, CA 90045
Los Angeles County (615) 778-4066
NOVO F BANTOLO PT
Physical Therapist
6033 W CENTURY BLVD, SUITE 200 & 201
LOS ANGELES, CA 90045
Los Angeles County (615) 778-4066
DR. TARO V LE PT, DPT
Physical Therapist
6033 W CENTURY BLVD
LOS ANGELES, CA 90045
Los Angeles County (310) 215-1600
HAI C. LE M.D.
Preventive Medicine (Occupational Medicine)
6033 W CENTURY BLVD, SUITE 200 201
LOS ANGELES, CA 90045
Los Angeles County (615) 778-4066

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 Concentra's NPI number?

The NPI number for Concentra is 1396100798. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Concentra located?

Concentra is located at 6033 W Century Blvd, Los Angeles, CA 90045. The listed phone number is (310) 258-0684.

What is Concentra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Concentra hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Concentra was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.