COMMUNITY MEDICAL CLINIC
NPI 1942674296
Physician Assistant in Irving, TX

Active since November 24, 2015CLIA Certified · 2 labs
916 W 6TH ST, IRVING, TX 75060(214) 570-0006(469) 586-5909 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Dec 1, 2015, Nov 24, 2015 (3 updates tracked since 2015).

About Community Medical Clinic NPPES

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

COMMUNITY MEDICAL CLINIC (NPI 1942674296) is a healthcare organization registered as a physician assistant in Irving, Texas and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Hatshepsut Oshun, Owner, as its authorized official.

NPPES Registry Identity

NPI1942674296
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDFW COMMUNITY MEDICAL GROUP PLLC
Location Address916 W 6TH STIrving, TX 75060-3874
Mailing Address1901 W Irving BlvdIrving, TX 75061-6823 · (214) 570-0006 · Fax (469) 586-5909
Fax(469) 586-5909
Organization SubpartNo
Authorized OfficialHatshepsut OshunOwner · (267) 242-3404
Enumeration DateNovember 24, 2015
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1942674296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP128978 (TX)
916 W 6TH ST, Irving, TX 75060

Other Names 1

Doing Business AsCommunity Medical Clinic

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 45D2118117

Dfw Community Medical Group · Irving, TX
Active · expires Nov 16, 2026
CLIA Number45D2118117
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorOshun Oshun
Laboratory Phone(972) 975-5444
Laboratory LocationDfw Community Medical Group916 W 6th St, Irving, TX 75060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2272258

Dfw Community Medical Group · Dallas, TX
Active · expires Nov 16, 2026
CLIA Number45D2272258
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorHatshepsut Oshun
Laboratory Phone(214) 570-0006
Laboratory LocationDfw Community Medical Group2916 Inwood Rd, Dallas, TX 75232
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 4

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

Nurse Practitioner (Family)
916 W 6TH ST
IRVING, TX 75060
Physician Assistant
916 W 6TH ST
IRVING, TX 75060
Physician Assistant
916 W 6TH ST
IRVING, TX 75060
Nurse Practitioner (Primary Care)
916 W 6TH ST
IRVING, TX 75060

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 Dfw Community Medical Group PLLC's NPI number?

The NPI number for Dfw Community Medical Group PLLC is 1942674296. It was assigned to this organization in the NPPES registry on November 24, 2015. The provider is doing business as Community Medical Clinic.

Where is Dfw Community Medical Group PLLC located?

Dfw Community Medical Group PLLC is located at 916 W 6th St, Irving, TX 75060. The listed phone number is (214) 570-0006.

What is Dfw Community Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Dfw Community Medical Group PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dfw Community Medical Group PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Dfw Community Medical Group PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dfw Community Medical Group PLLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.