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

Q: What is Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1457924953. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is also known as Venice South Bay Carson.

Q: What is Venice Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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: August 16, 2026.

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

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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

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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 NPPES

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

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Venice Family Clinic's NPI number?

The NPI number for Venice Family Clinic is 1457924953. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is also known as Venice South Bay Carson.

Where is Venice Family Clinic located?

Venice Family Clinic is located at 270 E 223rd St, Carson, CA 90745. The listed phone number is (310) 802-6177.

What is Venice Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Venice Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2065307) is associated with this NPI, valid through September 5, 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 Venice Family Clinic was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.