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UNITED COMMUNITY CLINIC
NPI 1437997855
Family Medicine in Wilmington, CA

Active since July 18, 2024CLIA 05D2323470 · Waiver
714 N AVALON BLVD, WILMINGTON, CA 90744(310) 745-1343(310) 522-4224 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About United Community Clinic NPPES

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

UNITED COMMUNITY CLINIC (NPI 1437997855) is a healthcare organization registered as a family medicine in Wilmington, California and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Romeo Herrera, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437997855
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNITED COMMUNITY CLINIC
Location Address714 N AVALON BLVDWilmington, CA 90744-5809
Mailing Address714 N Avalon BlvdWilmington, CA 90744-5809 · (310) 745-1343
Phone(310) 745-1343
Fax(310) 522-4224
Organization SubpartNo
Authorized OfficialRomeo HerreraAdministrator · (310) 407-9331
Enumeration DateJuly 18, 2024
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1437997855 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.
714 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

United Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to United Community Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Payam Kahen, M.D.
Family Practice
NPI 1902967557
714 N AVALON BLVD
Wilmington, CA 90744
(310) 522-4200
✔ PECOS✔ Accepts MedicareSame address
Leilani Rhea Diego
Nurse Practitioner
NPI 1417372426
1326 W CARSON ST APT 112
Torrance, CA 90501
(562) 787-1655
✔ PECOS4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2323470

United Community Clinic · Wilmington, CA
Active · expires May 6, 2027
CLIA Number05D2323470
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorPayam J. Kahen
Laboratory Phone(310) 522-4200
Laboratory LocationUnited Community Clinic714 N Avalon Boulevard, Wilmington, CA 90744
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 United Community Clinic's NPI number?

The NPI number for United Community Clinic is 1437997855. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is United Community Clinic located?

United Community Clinic is located at 714 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 745-1343.

What is United Community Clinic's specialty?

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

Is United Community Clinic enrolled in Medicare?

Yes. United Community Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through United Community Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to United Community Clinic, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does United Community Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2323470) is associated with this NPI, valid through May 6, 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 United Community Clinic was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.