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VENICE SOUTH BAY CARSON
NPI 1457924953
Clinic/Center - Federally Qualified Health Center (FQHC) in Carson, CA

Active since July 21, 2021CLIA 05D2065307 · Microscopy
270 E 223RD ST, CARSON, CA 90745(310) 802-6177(310) 802-6178 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Oct 15, 2021, Sep 29, 2021 and 1 more (4 updates tracked since 2021).

About Venice South Bay Carson NPPES

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

VENICE SOUTH BAY CARSON (NPI 1457924953) is a healthcare organization registered as a federally qualified health center (fqhc) in Carson, California and active in the NPI registry since July 2021. The organization holds a CLIA Microscopy certificate valid through September 5, 2027 and lists Mitesh G Popat, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1457924953
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameVENICE FAMILY CLINIC
Location Address270 E 223RD STCarson, CA 90745-3804
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 802-6177
Fax(310) 802-6178
Organization SubpartYes
Authorized OfficialMitesh G PopatChief Executive Officer · (310) 664-7901
Enumeration DateJuly 21, 2021
Last NPPES UpdateApril 25, 20244 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1457924953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
270 E 223RD ST, Carson, CA 90745
Open in Google Maps ↗

Other Names 1

Other NameVenice South Bay Carson

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2065307

Venice South Bay Carson (venice Family Clinic) · Carson, CA
Active · expires Sep 5, 2027
CLIA Number05D2065307
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorCesar L. Barba MD
Laboratory Phone(310) 664-7667
Laboratory LocationVenice South Bay Carson (venice Family Clinic)270 E 223rd Street, Carson, CA 90745
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SOUTH BAY FAMILY HEALTHCARE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
270 E 223RD ST
CARSON, CA 90745
Los Angeles County (310) 802-6177

Frequently Asked Questions

What is VENICE FAMILY CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1457924953, enumerated as an "organization" on July 21, 2021.

Where is the provider located?

The provider is located at 270 E 223RD ST CARSON, CA 90745 and the phone number is (310) 802-6177.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).