COMPLETE CARE COMMUNITY HEALTH CENTER, INC
NPI 1811397888
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in South Gate, CA

NPI Status: Active since August 27, 2014

Contact Information

5831 FIRESTONE BLVD STE E
SOUTH GATE, CA
ZIP 90280
Phone: (562) 806-7545
Fax: (562) 806-6062

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  • Organization
  • Program of All-Inclusive Care for the El...
  • CLIA Number: 05D1066823
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-02-2027

About COMPLETE CARE COMMUNITY HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Complete Care Community Health Center, Inc, a provider established in South Gate, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1811397888 assigned on August 2014. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Yury Akopyan (Ceo)

NPI
1811397888
Provider Name
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Entity Type
Organization
Location Address
5831 FIRESTONE BLVD STE E SOUTH GATE, CA 90280
Location Phone
(562) 806-7545
Location Fax
(562) 806-6062
Mailing Address
5831 FIRESTONE BLVD STE E SOUTH GATE, CA 90280
Mailing Phone
(562) 806-7545
Mailing Fax
(562) 806-6062
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2014
Last Update Date
04-05-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Taxonomy Code
251T00000X
Type
Agencies
Taxonomy Description
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. YURY AKOPYAN

Authorized Official Title
CEO
Authorized Official Phone
(562) 806-7545

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1066823
Facility Type
Community Clinic
Certificate Effective Date
April 03, 2025
Certificate Expiration Date
April 02, 2027
Laboratory Director
NICOLA F. AZAR MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Complete Care Community Health Center, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811397888, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 6 + 9 + 1 + 4 + 8 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1811397888.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Physician Assistant (Medical)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Midwife
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811397888, enumerated as an "organization" on August 27, 2014.

The provider is located at 5831 FIRESTONE BLVD STE E SOUTH GATE, CA 90280 and the phone number is (562) 806-7545.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.