SAN JUDAS COMMUNITY HEALTH CENTER, INC
NPI 1396235883
Clinic/Center in Los Angeles, CA

Q: What is San Judas Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 10, 2018CLIA 05D0894038 · Waiver

2972 WILSHIRE BLVD, LOS ANGELES, CA 90010(213) 484-0000(213) 387-0011 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About San Judas Community Health Center, Inc NPPES

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

SAN JUDAS COMMUNITY HEALTH CENTER, INC (NPI 1396235883) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Nejat Rostami, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396235883

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSAN JUDAS COMMUNITY HEALTH CENTER, INC

Location Address2972 WILSHIRE BLVDLos Angeles, CA 90010-1101

Mailing Address1080 N Western AveLos Angeles, CA 90029-2310 · (213) 484-0000 · Fax (213) 387-0011

Phone(213) 484-0000

Fax(213) 387-0011

Organization SubpartNo

Authorized OfficialNejat RostamiCeo · (310) 780-4674

Enumeration DateMay 10, 2018

✔ NPI 1396235883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2972 WILSHIRE BLVD, Los Angeles, CA 90010

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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 05D0894038

San Judas Community Health Center, Inc · Los Angeles, CA

Active · expires Jun 13, 2028

CLIA Number05D0894038

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 14, 2026

Certificate Expiration DateJune 13, 2028

Laboratory DirectorNejat Rostami MD

Laboratory Phone(213) 484-0000

Laboratory LocationSan Judas Community Health Center, Inc2972 Wilshire Blvd, Los Angeles, CA 90010

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 2

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

MARIA CRISTINA DASILVA

Nurse Practitioner (Family)

2972 WILSHIRE BLVD
LOS ANGELES, CA 90010

Los Angeles County (213) 484-0000

NEJAT ROSTAMI MEDICAL GROUP INC

Specialist

2972 WILSHIRE BLVD
LOS ANGELES, CA 90010

Los Angeles County (213) 484-0000

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 San Judas Community Health Center, Inc's NPI number?

The NPI number for San Judas Community Health Center, Inc is 1396235883. It was assigned to this organization in the NPPES registry on May 10, 2018.

Where is San Judas Community Health Center, Inc located?

San Judas Community Health Center, Inc is located at 2972 Wilshire Blvd, Los Angeles, CA 90010. The listed phone number is (213) 484-0000.

What is San Judas Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does San Judas Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0894038) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Judas Community Health Center, Inc was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.