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CCMA
NPI 1912078619
Internal Medicine in Centreville, VA

Active since November 13, 2006CLIA 49D0950308 · Waiver
5895 TRINITY PKWY, SUITE 100, CENTREVILLE, VA 20120(703) 802-2004(703) 802-2113 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ccma NPPES

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

CCMA (NPI 1912078619) is a healthcare organization registered as an internal medicine in Centreville, Virginia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Malak K Isaac, Medical Doctor /sole Owner, as its authorized official.

NPPES Registry Identity

NPI1912078619
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLIFTON CENTREVILLE MEDICAL ASSOCIATES
Location Address5895 TRINITY PKWY, SUITE 100Centreville, VA 20120-1995
Mailing Address5895 Trinity Pkwy, Suite 100Centreville, VA 20120-1996 · (703) 825-1401 · Fax (703) 802-2113
Phone(703) 802-2004
Fax(703) 802-2113
Organization SubpartNo
Authorized OfficialMalak K IsaacMedical Doctor /sole Owner · (703) 825-1401
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 4, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1912078619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101-049277
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101237688 (VA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0101-049277 (VA)
5895 TRINITY PKWY, Centreville, VA 20120
Open in Google Maps ↗

Other Names 1

Doing Business AsCcma

Other Identifiers 2

Medicaid006078508VA
OtherVV1662BVA · Medicare Gba

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 49D0950308

Clifton Centreville Medical Associates · Centreville, VA
Active · expires Aug 20, 2026
CLIA Number49D0950308
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorMalak K. Isaac
Laboratory Phone(703) 802-2004
Laboratory LocationClifton Centreville Medical Associates5895 Trinnity Parkway, Centreville, VA 20120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PAULINE ABATE ANP
Nurse Practitioner (Adult Health)
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 802-2004
DR. CHARLES CURT FISCHER D.D.S.
Dentist (General Practice)
5895 TRINITY PKWY, SUITE 200
CENTREVILLE, VA 20120
Fairfax County (703) 818-1500
MRS. KATHLEEN SHEARER ANP
Nurse Practitioner
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 802-2004
LOUDOUN MEDICAL GROUP, PC
Otolaryngology
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 483-3610
LOUISE A LEBLANC LNP
Nurse Practitioner (Adult Health)
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 802-2004
SUSAN S FITZGERALD FNP
Nurse Practitioner (Family)
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 802-2004
DR. KATHERINE BURAN FISCHER D.D.S.
Dentist (General Practice)
5895 TRINITY PKWY, SUITE 200
CENTREVILLE, VA 20120
Fairfax County (703) 818-1500
DR. ALAN R LEVINSTONE M.D.
Internal Medicine
5895 TRINITY PKWY, SUITE 100
CENTREVILLE, VA 20120
Fairfax County (703) 802-2004

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 Clifton Centreville Medical Associates's NPI number?

The NPI number for Clifton Centreville Medical Associates is 1912078619. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Ccma.

Where is Clifton Centreville Medical Associates located?

Clifton Centreville Medical Associates is located at 5895 Trinity Pkwy Suite 100, Centreville, VA 20120. The listed phone number is (703) 802-2004.

What is Clifton Centreville Medical Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Clifton Centreville Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0950308) is associated with this NPI, valid through August 20, 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 Clifton Centreville Medical Associates was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.