SUNDARAM FAMILY MEDICAL CLINIC, INC.
NPI 1518110287
Specialist in Huntington Park, CA

Active since October 28, 2008CLIA 05D0997093 · Waiver
2680 E FLORENCE AVE, HUNTINGTON PARK, CA 90255(323) 581-4665(213) 581-0551 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Sep 28, 2016 (2 updates tracked since 2016).

About Sundaram Family Medical Clinic, Inc. NPPES

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

SUNDARAM FAMILY MEDICAL CLINIC, INC. (NPI 1518110287) is a healthcare organization registered as a specialist in Huntington Park, California and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 10, 2026 and lists Jawahar Sundraram, President, as its authorized official.

NPPES Registry Identity

NPI1518110287
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUNDARAM FAMILY MEDICAL CLINIC, INC.
Location Address2680 E FLORENCE AVEHuntington Park, CA 90255-4708
Mailing Address2680 E Florence AveHuntington Park, CA 90255-4708 · (323) 581-4665 · Fax (323) 581-0551
Fax(213) 581-0551
Organization SubpartNo
Authorized OfficialJawahar SundraramPresident · (323) 234-6300
Enumeration DateOctober 28, 2008
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1518110287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A67659
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2680 E FLORENCE AVE, Huntington Park, CA 90255

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 05D0997093

Sundaram Family Medical Clinic Inc · Huntington Park, CA
Active · expires Nov 10, 2026
CLIA Number05D0997093
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorJawahar Sundaram
Laboratory Phone(323) 581-4665
Laboratory LocationSundaram Family Medical Clinic Inc2680 E Florence Ave, Huntington Park, CA 90255
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.

Specialist
2680 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Family Medicine
2680 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Nurse Practitioner (Family)
2680 E FLORENCE AVE
HUNTINGTON PARK, CA 90255

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 Sundaram Family Medical Clinic, Inc.'s NPI number?

The NPI number for Sundaram Family Medical Clinic, Inc. is 1518110287. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Sundaram Family Medical Clinic, Inc. located?

Sundaram Family Medical Clinic, Inc. is located at 2680 E Florence Ave, Huntington Park, CA 90255. The listed phone number is (323) 581-4665.

What is Sundaram Family Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Sundaram Family Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0997093) is associated with this NPI, valid through November 10, 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 Sundaram Family Medical Clinic, Inc. was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.