AZUL MEDICAL CLINIC INC
NPI 1679626436
Clinic/Center - Primary Care in Bell Gardens, CA

Active since January 18, 2007CLIA 05D1013566 · Waiver
6517 EASTERN AVE, BELL GARDENS, CA 90201(323) 773-8295(323) 773-0656 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Azul Medical Clinic Inc NPPES

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

AZUL MEDICAL CLINIC INC (NPI 1679626436) is a healthcare organization registered as a primary care in Bell Gardens, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Francisco A Jimenez, President, as its authorized official.

NPPES Registry Identity

NPI1679626436
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAZUL MEDICAL CLINIC INC
Location Address6517 EASTERN AVEBell Gardens, CA 90201-3003
Mailing Address6517 Eastern AveBell Gardens, CA 90201-3003 · (323) 773-8295 · Fax (323) 773-0656
Fax(323) 773-0656
Organization SubpartNo
Authorized OfficialFrancisco A JimenezPresident · (323) 773-8295
Enumeration DateJanuary 18, 2007
Last NPPES UpdateOctober 7, 2014
✔ NPI 1679626436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in CA · A40305✔ Licensed in CA · 17679
6517 EASTERN AVE, Bell Gardens, CA 90201

Other Identifiers 2

Medicare ID-Type UnspecifiedW16528CA · Medicare Provider
MedicaidGR0095220CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azul Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Azul Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1568634723
6517 EASTERN AVE
Bell Gardens, CA 90201
(323) 773-8295
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1477654440
1721 N WILMINGTON BLVD
Wilmington, CA 90744
(310) 835-1414
✔ PECOS14 mi
General Practice
NPI 1972696573
360 E 7TH ST STE D
Upland, CA 91786
(909) 920-9193
✔ PECOS✔ Accepts Medicare31 mi

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

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 05D1013566

Azul Medical Clinic · Bell Gardens, CA
Active · expires Jun 10, 2027
CLIA Number05D1013566
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorFrancisco A. Jimenez
Laboratory Phone(323) 773-8295
Laboratory LocationAzul Medical Clinic6517 Eastern Ave, Bell Gardens, CA 90201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Azul Medical Clinic Inc's NPI number?

The NPI number for Azul Medical Clinic Inc is 1679626436. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Azul Medical Clinic Inc located?

Azul Medical Clinic Inc is located at 6517 Eastern Ave, Bell Gardens, CA 90201. The listed phone number is (323) 773-8295.

What is Azul Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Azul Medical Clinic Inc enrolled in Medicare?

Yes. Azul Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azul Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Azul Medical Clinic Inc, in Family Practice, General Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Azul Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1013566) is associated with this NPI, valid through June 10, 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 Azul Medical Clinic Inc was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.