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EASTSIDE FAMILY CLINIC
NPI 1568656791
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since August 30, 2007CLIA 05D0964810 · Waiver
321 S MEDNIK AVE, LOS ANGELES, CA 90022(323) 261-4706(323) 261-4124 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Jan 18, 2017 (2 updates tracked since 2017).

About Eastside Family Clinic NPPES

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

EASTSIDE FAMILY CLINIC (NPI 1568656791) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Enrique J. Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1568656791
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEASTSIDE FAMILY MEDICAL ASSOCIATES, INC.
Location Address321 S MEDNIK AVELos Angeles, CA 90022-1839
Mailing Address321 S Mednik AveLos Angeles, CA 90022-1839 · (323) 261-4706 · Fax (323) 262-6874
Phone(323) 261-4706
Fax(323) 261-4124
Organization SubpartNo
Authorized OfficialEnrique J. GonzalezPresident · (323) 261-4706
Enumeration DateAugust 30, 2007
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
✔ NPI 1568656791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/CenterTaxonomy 261Q00000X · License G74790 (CA)
321 S MEDNIK AVE, Los Angeles, CA 90022
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Other Names 1

Doing Business AsEastside Family Clinic

Other Identifiers 1

Medicaid00G747901CA

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 05D0964810

Eastside Family Medical Associates, Inc · Los Angeles, CA
Active · expires Sep 2, 2027
CLIA Number05D0964810
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorEnrique J. Gonzalez
Laboratory Phone(323) 261-4706
Laboratory LocationEastside Family Medical Associates, Inc321 S Mednik Ave, Los Angeles, CA 90022
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

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

ENRIQUE JOSE GONZALEZ M.D.
General Practice
321 S MEDNIK AVE
LOS ANGELES, CA 90022
Los Angeles County (323) 261-4706

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 Eastside Family Medical Associates, Inc.'s NPI number?

The NPI number for Eastside Family Medical Associates, Inc. is 1568656791. It was assigned to this organization in the NPPES registry on August 30, 2007. The provider is doing business as Eastside Family Clinic.

Where is Eastside Family Medical Associates, Inc. located?

Eastside Family Medical Associates, Inc. is located at 321 S Mednik Ave, Los Angeles, CA 90022. The listed phone number is (323) 261-4706.

What is Eastside Family Medical Associates, Inc.'s specialty?

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

Does Eastside Family Medical Associates, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0964810) is associated with this NPI, valid through September 2, 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 Eastside Family Medical Associates, Inc. was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.