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NORTHEAST COMMUNITY CLINIC
NPI 1891200325
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA

Active since December 06, 2017
1414 S GRAND AVE STE 380, LOS ANGELES, CA 90015(213) 222-1300(213) 222-1333 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2021, Dec 6, 2017 (2 updates tracked since 2017).

About Northeast Community Clinic NPPES

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

NORTHEAST COMMUNITY CLINIC (NPI 1891200325) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since December 2017. The organization lists Christopher Tak Lau, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891200325
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST COMMUNITY CLINIC
Location Address1414 S GRAND AVE STE 380Los Angeles, CA 90015-3072
Mailing Address2550 W Main St Ste 301Alhambra, CA 91801-7003 · (626) 457-6900 · Fax (626) 457-5022
Phone(213) 222-1300
Fax(213) 222-1333
Organization SubpartYes
Authorized OfficialChristopher Tak LauExecutive Director · (626) 457-6900
Enumeration DateDecember 6, 2017
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1891200325 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
1414 S GRAND AVE STE 380, Los Angeles, CA 90015
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Other Providers at the Same Location NPPES 11

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

NATALIE CHANEL HOUSER PA-C
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARTHA MATEO LCSW
Social Worker (Clinical)
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
DR. KAMI ADIBI M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (310) 717-5777
MS. ELSA MARIA HARTWICK M.D.
Internal Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
ELIZABETH LOPEZ ESCOBAR
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
NOLASCO CRISTOBAL M.D
Pediatrics
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
ELIZABETH SOOBIN LEE
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 745-6047
DR. RENE JOUVANNI TRABANINO M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300

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 1891200325. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Northeast Community Clinic located?

Northeast Community Clinic is located at 1414 S Grand Ave Ste 380, Los Angeles, CA 90015. The listed phone number is (213) 222-1300.

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 with the weekly NPPES data releases published by CMS.