JWCH MEDICAL CLINIC (DWC)
NPI 1831560028
Clinic/Center in Los Angeles, CA

Active since October 13, 2015CLIA 05D2019226 · Waiver
442 S SAN PEDRO ST, LOS ANGELES, CA 90013(213) 223-2900(213) 613-1884 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jwch Medical Clinic (dwc) NPPES

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

JWCH MEDICAL CLINIC (DWC) (NPI 1831560028) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Alvaro Ballesteros, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1831560028
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJWCH INSTITUTE, INC
Location Address442 S SAN PEDRO STLos Angeles, CA 90013-2132
Mailing Address5650 Jillson StCommerce, CA 90040-1482 · (323) 201-4516 · Fax (323) 215-0170
Fax(213) 613-1884
Organization SubpartNo
Authorized OfficialAlvaro BallesterosChief Executive Officer · (323) 201-4516
Enumeration DateOctober 13, 2015
Last NPPES UpdateMay 16, 2016
NPI 1831560028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
442 S SAN PEDRO ST, Los Angeles, CA 90013

Other Names 1

Doing Business AsJwch Medical Clinic (dwc)

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 05D2019226

Jwch Medical Clinic (dwc) · Los Angeles, CA
Active · expires Jan 24, 2027
CLIA Number05D2019226
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorPaul Gregerson
Laboratory Phone(213) 484-1186
Laboratory LocationJwch Medical Clinic (dwc)442 S San Pedro St, Los Angeles, CA 90013
CLIA data matches this NPI record on: Address Name
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.

Social Worker (Clinical)
442 S SAN PEDRO ST
LOS ANGELES, CA 90013
Social Worker
442 S SAN PEDRO ST
LOS ANGELES, CA 90013
Supports Brokerage
442 S SAN PEDRO ST
LOS ANGELES, CA 90013
Student in an Organized Health Care Education/Training Program
442 S SAN PEDRO ST
LOS ANGELES, CA 90013
Marriage & Family Therapist
442 S SAN PEDRO ST
LOS ANGELES, CA 90013

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 Jwch Institute, Inc's NPI number?

The NPI number for Jwch Institute, Inc is 1831560028. It was assigned to this organization in the NPPES registry on October 13, 2015. The provider is doing business as Jwch Medical Clinic (dwc).

Where is Jwch Institute, Inc located?

Jwch Institute, Inc is located at 442 S San Pedro St, Los Angeles, CA 90013. The listed phone number is (213) 223-2900.

What is Jwch Institute, Inc's specialty?

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

Does Jwch Institute, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2019226) is associated with this NPI, valid through January 24, 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 Jwch Institute, Inc was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.