CHARITY HEALTH
NPI 1699509497
Clinic/Center - Federally Qualified Health Center (FQHC) in South Gate, CA

Active since August 26, 2024CLIA 05D2320346 · Waiver
4075 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 566-4111(323) 563-0439 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charity Health NPPES

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

CHARITY HEALTH (NPI 1699509497) is a healthcare organization registered as a federally qualified health center (fqhc) in South Gate, California and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Robert Azurin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699509497
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARITY HEALTH
Location Address4075 TWEEDY BLVDSouth Gate, CA 90280-6146
Mailing Address4075 Tweedy BlvdSouth Gate, CA 90280-6146 · (323) 566-4111 · Fax (323) 563-0439
Fax(323) 563-0439
Organization SubpartNo
Authorized OfficialRobert AzurinCeo · (323) 566-4111
Enumeration DateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1699509497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4075 TWEEDY BLVD, South Gate, CA 90280

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 05D2320346

Charity Health · South Gate, CA
Active · expires Mar 16, 2027
CLIA Number05D2320346
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorRobert Anthony Azurin
Laboratory Phone(323) 566-4111
Laboratory LocationCharity Health4075 Tweedy Boulevard, South Gate, CA 90280
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 5

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

Family Medicine
4075 TWEEDY BLVD
SOUTH GATE, CA 90280
Physician Assistant (Medical)
4075 TWEEDY BLVD
SOUTH GATE, CA 90280
Family Medicine
4075 TWEEDY BLVD
SOUTH GATE, CA 90280
Family Medicine
4075 TWEEDY BLVD
SOUTH GATE, CA 90280
Clinic/Center (Primary Care)
4075 TWEEDY BLVD
SOUTH GATE, CA 90280

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 Charity Health's NPI number?

The NPI number for Charity Health is 1699509497. It was assigned to this organization in the NPPES registry on August 26, 2024.

Where is Charity Health located?

Charity Health is located at 4075 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 566-4111.

What is Charity Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Charity Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2320346) is associated with this NPI, valid through March 16, 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 Charity Health was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.