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MAYWOOD FAMILY MEDICAL CENTER
NPI 1801184841
Clinic/Center in Maywood, CA

Active since July 12, 2011CLIA 05D0966981 · Waiver
5920 ATLANTIC BLVD, MAYWOOD, CA 90270(323) 562-2535(323) 562-2558 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maywood Family Medical Center NPPES

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

MAYWOOD FAMILY MEDICAL CENTER (NPI 1801184841) is a healthcare organization registered as a clinic/center in Maywood, California and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Ragaa Z. Iskarous, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1801184841
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAYWOOD FAMILY MEDICAL CENTER
Location Address5920 ATLANTIC BLVDMaywood, CA 90270-3101
Mailing Address5920 Atlantic BlvdMaywood, CA 90270-3101 · (323) 562-2535 · Fax (323) 562-2558
Phone(323) 562-2535
Fax(323) 562-2558
Organization SubpartNo
Authorized OfficialRagaa Z. IskarousChief Executive Officer · (562) 522-7413
Enumeration DateJuly 12, 2011
✔ NPI 1801184841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A45155
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5920 ATLANTIC BLVD, Maywood, CA 90270
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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 05D0966981

Maywood Family Medical Center · Maywood, CA
Active · expires Oct 28, 2027
CLIA Number05D0966981
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorRagaa Z. Iskarous
Laboratory Phone(323) 562-2535
Laboratory LocationMaywood Family Medical Center5920 Atlantic Blvd, Maywood, CA 90270
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

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

MRS. HEIDI TAWADROS PA.C
General Practice
5920 ATLANTIC BLVD
MAYWOOD, CA 90270
Los Angeles County (323) 562-2535

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 Maywood Family Medical Center's NPI number?

The NPI number for Maywood Family Medical Center is 1801184841. It was assigned to this organization in the NPPES registry on July 12, 2011.

Where is Maywood Family Medical Center located?

Maywood Family Medical Center is located at 5920 Atlantic Blvd, Maywood, CA 90270. The listed phone number is (323) 562-2535.

What is Maywood Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Maywood Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0966981) is associated with this NPI, valid through October 28, 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 Maywood Family Medical Center was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.