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NORTHEAST COMMUNITY CLINIC
NPI 1891028171
Clinic/Center - Federally Qualified Health Center (FQHC) in Hawthorne, CA

Active since September 17, 2009
4455 W 117TH ST STE 300, HAWTHORNE, CA 90250(310) 645-0444(310) 978-0599 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Community Clinic NPPES

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

NORTHEAST COMMUNITY CLINIC (NPI 1891028171) is a healthcare organization registered as a federally qualified health center (fqhc) in Hawthorne, California and active in the NPI registry since September 2009. The organization lists Christopher Tak Lau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891028171
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST COMMUNITY CLINIC
Location Address4455 W 117TH ST STE 300Hawthorne, CA 90250-2240
Mailing Address2550 W Main St, Suite 301Alhambra, CA 91801-1694 · (626) 457-6900 · Fax (626) 457-5022
Phone(310) 645-0444
Fax(310) 978-0599
Organization SubpartNo
Authorized OfficialChristopher Tak LauExecutive Director · (626) 457-6900
Enumeration DateSeptember 17, 2009
Last NPPES UpdateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1891028171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4455 W 117TH ST STE 300, Hawthorne, CA 90250
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Other Providers at the Same Location NPPES 12

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

DR. KARLON HOWARD JOHNSON M.D.
Family Medicine
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
MRS. LUZ MERY SARRIA RN NP
Nurse Practitioner (Obstetrics & Gynecology)
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
MRS. MELISSA NATASHA MYLES PA-C
Physician Assistant
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
LIEN MY PHAM PA-C
Physician Assistant
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
DR. AZADEH SALAMI MD
Pediatrics
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
CAITLIN OUTLAND PA-C
Physician Assistant (Medical)
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
MISS JULIA CATHERINE BREWER NP
Nurse Practitioner
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444
DR. NGAN-THUY D PHAM M.D.
Pediatrics
4455 W 117TH ST STE 300
HAWTHORNE, CA 90250
Los Angeles County (310) 645-0444

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 Northeast Community Clinic's NPI number?

The NPI number for Northeast Community Clinic is 1891028171. It was assigned to this organization in the NPPES registry on September 17, 2009.

Where is Northeast Community Clinic located?

Northeast Community Clinic is located at 4455 W 117th St Ste 300, Hawthorne, CA 90250. The listed phone number is (310) 645-0444.

What is Northeast Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Northeast Community Clinic was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.