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ADELANTO MEDICAL CLINIC
NPI 1619959301
Specialist in Adelanto, CA

Active since November 17, 2005CLIA 05D0943470 · Waiver
11678 RANCHO RD, ADELANTO, CA 92301(760) 246-9555(760) 246-9115 Get Directions Write a Review

NPPES record last updated: June 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adelanto Medical Clinic NPPES

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

ADELANTO MEDICAL CLINIC (NPI 1619959301) is a healthcare organization registered as a specialist in Adelanto, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Onyenkwere Okwu Okwandu, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619959301
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALA-NGWA AMERICAN ENT.INC.
Location Address11678 RANCHO RDAdelanto, CA 92301-2700
Mailing Address11678 Rancho RdAdelanto, CA 92301-2700 · (760) 246-9555 · Fax (760) 246-9115
Phone(760) 246-9555
Fax(760) 246-9115
Organization SubpartNo
Authorized OfficialOnyenkwere Okwu OkwanduOffice Manager · (760) 246-9555
Enumeration DateNovember 17, 2005
Last NPPES UpdateJune 28, 2010
✔ NPI 1619959301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G77049
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.
11678 RANCHO RD, Adelanto, CA 92301
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Other Names 1

Doing Business AsAdelanto Medical Clinic

Other Identifiers 1

Medicaid00G770491CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D0943470

Adelanto Medical Clinic · Adelanto, CA
Active · expires Jan 17, 2027
CLIA Number05D0943470
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorOdouh N. Nwagwu
Laboratory Phone(760) 246-9555
Laboratory LocationAdelanto Medical Clinic11678 Rancho Road, Adelanto, CA 92301
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 2

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

DR. ODOCHI N NWAGWU MD
Pediatrics
11678 RANCHO RD
ADELANTO, CA 92301
San Bernardino County (760) 246-9555
ODOCHI NWAGWU MD INC
Clinic/Center
11678 RANCHO RD
ADELANTO, CA 92301
San Bernardino County (760) 246-9555

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 Ala-Ngwa American Ent.Inc.'s NPI number?

The NPI number for Ala-Ngwa American Ent.Inc. is 1619959301. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider is doing business as Adelanto Medical Clinic.

Where is Ala-Ngwa American Ent.Inc. located?

Ala-Ngwa American Ent.Inc. is located at 11678 Rancho Rd, Adelanto, CA 92301. The listed phone number is (760) 246-9555.

What is Ala-Ngwa American Ent.Inc.'s specialty?

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

Does Ala-Ngwa American Ent.Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0943470) is associated with this NPI, valid through January 17, 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 Ala-Ngwa American Ent.Inc. was last updated on June 28, 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.