RAND SCHRADER 5P21 CLINIC
NPI 1699175364
Nursing Facility/Intermediate Care Facility in Los Angeles, CA

Q: What is Rand Schrader 5p21 Clinic's NPI number?

The NPI number for Rand Schrader 5p21 Clinic is 1699175364. It was assigned to this organization in the NPPES registry on August 29, 2014.

Q: What is Rand Schrader 5p21 Clinic's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since August 29, 2014CLIA 05D2272951 · Waiver

1300 N MISSION RD, LOS ANGELES, CA 90033(323) 343-8255 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rand Schrader 5p21 Clinic NPPES

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

RAND SCHRADER 5P21 CLINIC (NPI 1699175364) is a healthcare organization registered as a nursing facility/intermediate care facility in Los Angeles, California and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Lanomay Benjamin, Nurse Manager, as its authorized official.

NPPES Registry Identity

NPI1699175364

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameRAND SCHRADER 5P21 CLINIC

Location Address1300 N MISSION RDLos Angeles, CA 90033-1021

Mailing Address811 S Wilton Pl, Apt 7Los Angeles, CA 90005-3544

Phone(323) 343-8255

Organization SubpartNo

Authorized OfficialLanomay BenjaminNurse Manager · (323) 343-8255

Enumeration DateAugust 29, 2014

✔ NPI 1699175364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in CA · 272539

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1300 N MISSION RD, Los Angeles, CA 90033

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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 05D2272951

Rand Schrader Clinic · Los Angeles, CA

Active · expires Dec 1, 2026

CLIA Number05D2272951

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 2, 2024

Certificate Expiration DateDecember 1, 2026

Laboratory DirectorMelanie Osby

Laboratory Phone(323) 409-7055

Laboratory LocationRand Schrader Clinic1300 N Mission Road, Los Angeles, CA 90033

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. CYNTHIA IRENE AGUILERA MD

Internal Medicine