EL DORADO COMMUNITY SERVICE CENTER
NPI 1912254418
Clinic/Center - Primary Care in Azusa, CA
About El Dorado Community Service Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EL DORADO COMMUNITY SERVICE CENTER (NPI 1912254418) is a healthcare organization registered as a primary care in Azusa, California and active in the NPI registry since August 2012. The organization lists Seanjay Ramanand Sharma, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
El Dorado Community Service Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to El Dorado Community Service Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 El Dorado Community Service Center's NPI number?
The NPI number for El Dorado Community Service Center is 1912254418. It was assigned to this organization in the NPPES registry on August 14, 2012.
Where is El Dorado Community Service Center located?
El Dorado Community Service Center is located at 472 S Citrus Ave, Azusa, CA 91702. The listed phone number is (626) 858-9500.
What is El Dorado Community Service Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is El Dorado Community Service Center enrolled in Medicare?
Yes. El Dorado Community Service Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through El Dorado Community Service Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to El Dorado Community Service Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (4) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for El Dorado Community Service Center was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# El Dorado Community Service Center · NPI 1912254418
Primary Care organization in Azusa, California. Organization record, active in the CMS NPPES registry since August 14, 2012.
## Identity
- **NPI:** 1912254418 (Entity type: Organization)
- **Enumerated:** August 14, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Seanjay Sharma, PRESIDENT
## Practice location
- **Address:** 472 S CITRUS AVE, Azusa, CA 91702-4733
- **Phone:** (626) 858-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (4), Family Practice (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1912254418) · Data from the CMS NPPES public registry.