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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHEAST COMMUNITY CLINIC
NPI 1700097540
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilmington, CA

Active since May 24, 2007
200 E ANAHEIM ST, WILMINGTON, CA 90744(310) 522-8700 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jun 12, 2023, Oct 15, 2021 and 2 more (5 updates tracked since 2017).

About Northeast Community Clinic NPPES

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

NORTHEAST COMMUNITY CLINIC (NPI 1700097540), doing business as Wilmington Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, California and active in the NPI registry since May 2007. The organization lists Christopher Tak Lau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700097540
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST COMMUNITY CLINIC
Location Address200 E ANAHEIM STWilmington, CA 90744
Mailing Address2550 W Main St, Ste 301Alhambra, CA 91801-1694 · (626) 457-6900 · Fax (626) 457-5022
Phone(310) 522-8700
Organization SubpartYes
Authorized OfficialChristopher Tak LauExecutive Director · (626) 457-6900
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1700097540 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
200 E ANAHEIM ST, Wilmington, CA 90744
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Other Names 1

Doing Business AsWilmington Family Health Center

Other Identifiers 1

MedicaidCMM71121FCA

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.

EMMA B. TREJO MD
Internal Medicine
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
MS. JOSEPHINE MARLENE SERVIN L.C.S.W
Social Worker (Clinical)
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
LAURA MOTA DDS
Dentist (Dental Public Health)
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (888) 311-6322
DR. FANTAYE MERID M.D.
Family Medicine
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
VERONICA ROCIO GAMARRA
Health Educator
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
KAYLA NOELLE MACAPAGAL
Physician Assistant
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
MR. DAVID LOREN MARCUS M.D.
Psychiatry & Neurology (Psychiatry)
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700
LUISA RAMIREZ
Health Educator
200 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 522-8700

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 Northeast Community Clinic's NPI number?

The NPI number for Northeast Community Clinic is 1700097540. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Wilmington Family Health Center.

Where is Northeast Community Clinic located?

Northeast Community Clinic is located at 200 E Anaheim St, Wilmington, CA 90744. The listed phone number is (310) 522-8700.

What is Northeast Community Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Northeast Community Clinic was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.