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ST. LUKE MEDICAL CLINIC
NPI 1487832655
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since February 09, 2008CLIA 05D1069575 · Waiver
5912 SANTA MONICA BLVD, LOS ANGELES, CA 90038(323) 461-3888(323) 461-3250 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Luke Medical Clinic NPPES

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

ST. LUKE MEDICAL CLINIC (NPI 1487832655) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Nabil F Khalil, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487832655
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOCAL HEALTHNET INC
Location Address5912 SANTA MONICA BLVDLos Angeles, CA 90038-2043
Mailing Address5912 Santa Monica BlvdLos Angeles, CA 90038-2043 · (323) 461-3888 · Fax (323) 461-3250
Phone(323) 461-3888
Fax(323) 461-3250
Organization SubpartNo
Authorized OfficialNabil F KhalilMedical Director · (323) 461-3888
Enumeration DateFebruary 9, 2008
Last NPPES UpdateMarch 22, 2010
✔ NPI 1487832655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in CA · GR008540
5912 SANTA MONICA BLVD, Los Angeles, CA 90038
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Luke Medical Clinic

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 05D1069575

Socal Healthnet Inc Dba St Luke Medical Clinic · Los Angeles, CA
Active · expires Jun 7, 2027
CLIA Number05D1069575
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDr. Nicholas Rogers MD
Laboratory Phone(323) 461-3888
Laboratory LocationSocal Healthnet Inc Dba St Luke Medical Clinic5912 Santa Monica Blvd, Los Angeles, CA 90038
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 4

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

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5912 SANTA MONICA BLVD
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3888
SUSAN MALAL NP
Nurse Practitioner (Psychiatric/Mental Health)
5912 SANTA MONICA BLVD
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3888
SALEEMA HUMA NAITAQI FNP
Nurse Practitioner (Family)
5912 SANTA MONICA BLVD
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3888
NABIL F KHALIL MD
General Practice
5912 SANTA MONICA BLVD
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3888

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 Socal Healthnet Inc's NPI number?

The NPI number for Socal Healthnet Inc is 1487832655. It was assigned to this organization in the NPPES registry on February 9, 2008. The provider is doing business as St. Luke Medical Clinic.

Where is Socal Healthnet Inc located?

Socal Healthnet Inc is located at 5912 Santa Monica Blvd, Los Angeles, CA 90038. The listed phone number is (323) 461-3888.

What is Socal Healthnet Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Socal Healthnet Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1069575) is associated with this NPI, valid through June 7, 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 Socal Healthnet Inc was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.