EASTSIDE DIABETES CARE MEDICAL CLINIC, INC.
NPI 1841500253
Specialist in Los Angeles, CA
About Eastside Diabetes Care Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTSIDE DIABETES CARE MEDICAL CLINIC, INC. (NPI 1841500253) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Altagracia A Rodriguez, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other Identifiers 6
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 05D0861739
Eastside Diabetes Care Medical Clinic · Los Angeles, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eastside Diabetes Care Medical Clinic, Inc.'s NPI number?
The NPI number for Eastside Diabetes Care Medical Clinic, Inc. is 1841500253. It was assigned to this organization in the NPPES registry on October 19, 2010.
Where is Eastside Diabetes Care Medical Clinic, Inc. located?
Eastside Diabetes Care Medical Clinic, Inc. is located at 5836 E Beverly Blvd, Los Angeles, CA 90022. The listed phone number is (323) 726-0370.
What is Eastside Diabetes Care Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Does Eastside Diabetes Care Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0861739) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eastside Diabetes Care Medical Clinic, Inc. was last updated on February 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.
