BLESSED CARE FAMILY CLINIC
NPI 1639036080
General Practice in Glendale, CA

Active since January 07, 2026
1217 S CENTRAL AVE, GLENDALE, CA 91204(818) 250-0090 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Blessed Care Family Clinic NPPES

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

BLESSED CARE FAMILY CLINIC (NPI 1639036080) is a healthcare organization registered as a general practice in Glendale, California and active in the NPI registry since January 2026. The organization lists Talal Al-quraini, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639036080
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLESSED CARE FAMILY CLINIC
Location Address1217 S CENTRAL AVEGlendale, CA 91204-2503
Mailing Address1217 S Central AveGlendale, CA 91204-2503 · (818) 250-0090
Organization SubpartNo
Authorized OfficialTalal Al-qurainiCeo · (818) 925-0090
Enumeration DateJanuary 7, 2026
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1639036080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1217 S CENTRAL AVE, Glendale, CA 91204

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blessed Care Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blessed Care Family Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1316955446
751 MEDICAL CENTER CT
Chula Vista, CA 91911
(619) 482-5825
✔ PECOS✔ Accepts Medicare126 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blessed Care Family Clinic's NPI number?

The NPI number for Blessed Care Family Clinic is 1639036080. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Blessed Care Family Clinic located?

Blessed Care Family Clinic is located at 1217 S Central Ave, Glendale, CA 91204. The listed phone number is (818) 250-0090.

What is Blessed Care Family Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Blessed Care Family Clinic enrolled in Medicare?

Yes. Blessed Care Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blessed Care Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Blessed Care Family Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blessed Care Family Clinic was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.