WILMINGTON COMMUNITY CLINIC
NPI 1932194586
Clinic/Center - Federally Qualified Health Center (FQHC) in Wilmington, CA

Active since September 20, 2005
1009 N AVALON BLVD, WILMINGTON, CA 90744(310) 549-5760(310) 549-2277 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2022, Jun 21, 2016 (2 updates tracked since 2016).

About Wilmington Community Clinic NPPES

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

WILMINGTON COMMUNITY CLINIC (NPI 1932194586) is a healthcare organization registered as a federally qualified health center (fqhc) in Wilmington, California and active in the NPI registry since September 2005. The organization lists Veronica Rodarte, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1932194586
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWILMINGTON COMMUNITY CLINIC
Location Address1009 N AVALON BLVDWilmington, CA 90744-4505
Mailing Address1009 N Avalon BlvdWilmington, CA 90744-4505 · (310) 549-5760 · Fax (310) 549-1453
Fax(310) 549-2277
Organization SubpartNo
Authorized OfficialVeronica RodarteRevenue Cycle Manager · (310) 714-8521
Enumeration DateSeptember 20, 2005
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1932194586 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
1009 N AVALON BLVD, Wilmington, CA 90744

Other Identifiers 1

Medicaid1932194586CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilmington Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wilmington Community Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1518075209
1333 CHESTNUT AVE
Long Beach, CA 90813
(562) 599-8601
✔ Accepts Medicare3.8 mi
Family Practice
NPI 1225186190
111 N SEPULVEDA BLVD STE 210
Manhattan Beach, CA 90266
(310) 379-2134
✔ Accepts Medicare10 mi

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 Wilmington Community Clinic's NPI number?

The NPI number for Wilmington Community Clinic is 1932194586. It was assigned to this organization in the NPPES registry on September 20, 2005.

Where is Wilmington Community Clinic located?

Wilmington Community Clinic is located at 1009 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 549-5760.

What is Wilmington 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.

Is Wilmington Community Clinic enrolled in Medicare?

Yes. Wilmington Community Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilmington Community Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Wilmington Community Clinic. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilmington Community Clinic was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.