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CENTRO MEDICO DEL CARMEN
NPI 1821532508
General Practice in Moreno Valley, CA

Active since December 14, 2016CLIA 05D2126182 · Waiver
13373 PERRIS BLVD, SUITE C202A, MORENO VALLEY, CA 92553(951) 242-8155(951) 242-8311 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centro Medico Del Carmen NPPES

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

CENTRO MEDICO DEL CARMEN (NPI 1821532508) is a healthcare organization registered as a general practice in Moreno Valley, California and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Ana Rosa Ascencio, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1821532508
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRO MEDICO DEL CARMEN
Location Address13373 PERRIS BLVD, SUITE C202AMoreno Valley, CA 92553-5441
Mailing Address13373 Perris Blvd, Suite C202aMoreno Valley, CA 92553-5441 · (951) 242-8155 · Fax (951) 242-8311
Phone(951) 242-8155
Fax(951) 242-8311
Organization SubpartNo
Authorized OfficialAna Rosa AscencioAdministrative Assistant · (213) 219-8054
Enumeration DateDecember 14, 2016
✔ NPI 1821532508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A52193
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13373 PERRIS BLVD, Moreno Valley, CA 92553
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Other Identifiers 3

OtherW19646CA · Medicare Id:
Medicare UPINF 68610CA
Medicaid00521930CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2126182

Centro Medico Del Carmen · Moreno Valley, CA
Active · expires Feb 20, 2027
CLIA Number05D2126182
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorThomas L. Watson
Laboratory Phone(951) 242-8155
Laboratory LocationCentro Medico Del Carmen13373 Perris Blvd Ste C202a, Moreno Valley, CA 92553
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 3

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

CDH, INC.
Physical Therapist
13373 PERRIS BLVD, SUITE C202B
MORENO VALLEY, CA 92553
Riverside County (951) 924-6332
DR. PETER PAUL FELICIANO D.M.D.
Dentist (General Practice)
13373 PERRIS BLVD
MORENO VALLEY, CA 92553
Riverside County (951) 485-2860
ANTHONY RENEL TABINGO II MPT
Physical Therapist
13373 PERRIS BLVD, SUITE C-202-B
MORENO VALLEY, CA 92553
Riverside County (951) 924-6332

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 Centro Medico Del Carmen's NPI number?

The NPI number for Centro Medico Del Carmen is 1821532508. It was assigned to this organization in the NPPES registry on December 14, 2016.

Where is Centro Medico Del Carmen located?

Centro Medico Del Carmen is located at 13373 Perris Blvd Suite C202a, Moreno Valley, CA 92553. The listed phone number is (951) 242-8155.

What is Centro Medico Del Carmen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centro Medico Del Carmen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2126182) is associated with this NPI, valid through February 20, 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 Centro Medico Del Carmen was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.