1. Home
  2. Directory
  3. California
  4. Covina
  5. Clinic Center
  6. NPI Profile

BLANCO FAMILY MEDICINE
NPI 1922424902
Clinic/Center - Primary Care in Covina, CA

Active since March 13, 2014CLIA 05D2079424 · Waiver
380 W BADILLO ST, COVINA, CA 91723(626) 915-3000(626) 915-3004 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Blanco Family Medicine NPPES

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

BLANCO FAMILY MEDICINE (NPI 1922424902) is a healthcare organization registered as a primary care in Covina, California and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Debra Blanco, Secretary, as its authorized official.

NPPES Registry Identity

NPI1922424902
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLANCO FAMILY MEDICINE INC.
Location Address380 W BADILLO STCovina, CA 91723-1827
Mailing Address380 W Badillo StCovina, CA 91723-1827 · (626) 915-3000 · Fax (626) 915-3004
Phone(626) 915-3000
Fax(626) 915-3004
Organization SubpartNo
Authorized OfficialDebra BlancoSecretary · (626) 915-3000
Enumeration DateMarch 13, 2014
✔ NPI 1922424902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A0751476
380 W BADILLO ST, Covina, CA 91723
Open in Google Maps ↗

Other Names 1

Doing Business AsBlanco Family Medicine

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 05D2079424

Blanco Family Medicine · Covina, CA
Active · expires Jun 15, 2028
CLIA Number05D2079424
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorMichael S. Woo-Ming
Laboratory Phone(626) 915-3000
Laboratory LocationBlanco Family Medicine380 W Badillo St, Covina, CA 91723
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Blanco Family Medicine Inc.'s NPI number?

The NPI number for Blanco Family Medicine Inc. is 1922424902. It was assigned to this organization in the NPPES registry on March 13, 2014. The provider is doing business as Blanco Family Medicine.

Where is Blanco Family Medicine Inc. located?

Blanco Family Medicine Inc. is located at 380 W Badillo St, Covina, CA 91723. The listed phone number is (626) 915-3000.

What is Blanco Family Medicine Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Blanco Family Medicine Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2079424) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blanco Family Medicine Inc. was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.