WILMINGTON URGENT CARE AND FAMILY CLINIC INC
NPI 1972863611
Clinic/Center - Urgent Care in Wilmington, CA
About Wilmington Urgent Care And Family Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMINGTON URGENT CARE AND FAMILY CLINIC INC (NPI 1972863611) is a healthcare organization registered as an urgent care in Wilmington, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Payam John Kahen, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wilmington Urgent Care And Family Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilmington Urgent Care And Family Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2054784
Wilmington Urgent Care And Family Clinic Inc · Wilmington, CAFrequently 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 Urgent Care And Family Clinic Inc's NPI number?
The NPI number for Wilmington Urgent Care And Family Clinic Inc is 1972863611. It was assigned to this organization in the NPPES registry on May 28, 2012.
Where is Wilmington Urgent Care And Family Clinic Inc located?
Wilmington Urgent Care And Family Clinic Inc is located at 714 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 522-4200.
What is Wilmington Urgent Care And Family Clinic Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Wilmington Urgent Care And Family Clinic Inc enrolled in Medicare?
Yes. Wilmington Urgent Care And Family Clinic Inc is registered in the Medicare PECOS enrollment system.
When is Wilmington Urgent Care And Family Clinic Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wilmington Urgent Care And Family Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wilmington Urgent Care And Family Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wilmington Urgent Care And Family Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2054784) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wilmington Urgent Care And Family Clinic Inc was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wilmington Urgent Care And Family Clinic Inc · NPI 1972863611
Urgent Care organization in Wilmington, California. Organization record, active in the CMS NPPES registry since May 28, 2012.
## Identity
- **NPI:** 1972863611 (Entity type: Organization)
- **Enumerated:** May 28, 2012
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Payam Kahen, MEDICAL DIRECTOR
## Practice location
- **Address:** 714 N AVALON BLVD, Wilmington, CA 90744-5809
- **Phone:** (310) 522-4200 · **Fax:** (310) 522-4224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972863611) · Data from the CMS NPPES public registry.