SOUTHERN CALIFORNIA MEDICAL CENTER
NPI 1902202195
Clinic/Center in El Monte, CA

Active since November 14, 2014CLIA 05D0898122 · Waiver
12100 VALLEY BLVD STE 109A, EL MONTE, CA 91732(626) 575-7500 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southern California Medical Center NPPES

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

SOUTHERN CALIFORNIA MEDICAL CENTER (NPI 1902202195) is a healthcare organization registered as a clinic/center in El Monte, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Mohammad Rosekhi, Cheif Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1902202195
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHERN CALIFORNIA MEDICAL CENTER
Location Address12100 VALLEY BLVD STE 109AEl Monte, CA 91732-3161
Mailing Address12100 Valley Blvd Ste 109aEl Monte, CA 91732-3161 · (626) 575-7500
Organization SubpartNo
Authorized OfficialMohammad RosekhiCheif Medical Officer · (626) 575-7500
Enumeration DateNovember 14, 2014
NPI 1902202195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · 95000890
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).

12100 VALLEY BLVD STE 109A, El Monte, CA 91732

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 05D0898122

Southern California Medical Centers, Inc · El Monte, CA
Active · expires Jan 9, 2027
CLIA Number05D0898122
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorAllen Hassen
Laboratory Phone(626) 575-7500
Laboratory LocationSouthern California Medical Centers, Inc12100 Valley Blvd Suite 109a, El Monte, CA 91732
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 4

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

Clinic/Center (Community Health)
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Physical Therapist
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Physician Assistant
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732
Physician Assistant
12100 VALLEY BLVD STE 109A
EL MONTE, CA 91732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902202195, enumerated as an "organization" on November 14, 2014.

The provider is located at 12100 VALLEY BLVD STE 109A EL MONTE, CA 91732 and the phone number is (626) 575-7500.

Clinic/Center with taxonomy code 261Q00000X.