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LA VERNE FAMILY MEDICAL CENTER INC
NPI 1457469884
Family Medicine in La Verne, CA

Active since August 27, 2006CLIA 05D1029294 · Waiver
2100 FOOTHILL BLVD, SUITE A, LA VERNE, CA 91750(909) 596-1941(909) 596-1943 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About La Verne Family Medical Center Inc NPPES

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

LA VERNE FAMILY MEDICAL CENTER INC (NPI 1457469884) is a healthcare organization registered as a family medicine in La Verne, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Tan Lin Wong, President, as its authorized official.

NPPES Registry Identity

NPI1457469884
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLA VERNE FAMILY MEDICAL CENTER INC
Location Address2100 FOOTHILL BLVD, SUITE ALa Verne, CA 91750-2905
Mailing Address2100 Foothill Blvd, Suite ALa Verne, CA 91750-2905 · (909) 596-1941 · Fax (909) 596-1943
Phone(909) 596-1941
Fax(909) 596-1943
Organization SubpartNo
Authorized OfficialTan Lin WongPresident · (909) 596-1941
Enumeration DateAugust 27, 2006
Last NPPES UpdateDecember 9, 2011
✔ NPI 1457469884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A50496
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.

2100 FOOTHILL BLVD, La Verne, CA 91750
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Other Identifiers 4

Medicare PINWA504960CA
Medicare UPINF74579CA
OtherW20443CA · Medicare Group Id
Medicare OSCAR/certificationW20443CA

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 of Waiver 05D1029294

La Verne Family Medical Center · La Verne, CA
Active · expires Aug 12, 2026
CLIA Number05D1029294
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorTan L. Wong MD
Laboratory Phone(909) 596-1941
Laboratory LocationLa Verne Family Medical Center2100 Foothill Blvd Ste A, La Verne, CA 91750
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 3

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

DR. NYUNT TIN KHOO M.D.
General Practice
2100 FOOTHILL BLVD, SUITE A
LA VERNE, CA 91750
Los Angeles County (909) 596-1941
W&J MEDICAL GROUP
Acupuncturist
2100 FOOTHILL BLVD, SUITE A
LA VERNE, CA 91750
Los Angeles County (626) 316-3978
C&L MEDICAL GROUP INC.
Acupuncturist
2100 FOOTHILL BLVD, SUITE A
LA VERNE, CA 91750
Los Angeles County (909) 593-8682

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 La Verne Family Medical Center Inc's NPI number?

The NPI number for La Verne Family Medical Center Inc is 1457469884. It was assigned to this organization in the NPPES registry on August 27, 2006.

Where is La Verne Family Medical Center Inc located?

La Verne Family Medical Center Inc is located at 2100 Foothill Blvd Suite A, La Verne, CA 91750. The listed phone number is (909) 596-1941.

What is La Verne Family Medical Center Inc's specialty?

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

Does La Verne Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1029294) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Verne Family Medical Center Inc was last updated on December 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.