NPIMap

Organization Active NPI

Centro Medico Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1073310355
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRO MEDICO COMMUNITY CLINIC, INC
Practice address
3756 Santa Rosalia Dr Ste C100
Los Angeles, CA 90008-3606
Phone
(844) 223-6876
NPI assigned
Feb 25, 2025
Organization subpart
Yes
Parent organization
CENTRO MEDICO COMMUNITY CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samar Masri
Title
HR Director
Phone
(951) 278-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr Ste C100
Los Angeles, CA 90008-3606

Mailing address

1303 W 6TH St Ste 102
Corona, CA 92882-3196
Phone (951) 278-8910

Other names 1

  • Centro Medico Community Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Medico Communty Clinic Inc9 organizations share this tax ID, including this one
Part of
Centro Medico Communty Clinic Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3756 Santa Rosalia Dr
Ste C100
Los Angeles, CA 90008
Phone (310) 742-5961

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICIBD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1073310355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W 6TH ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823196",
            "telephone_number": "951-278-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE C100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "844-223-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO COMMUNITY CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO MEDICO COMMUNITY CLINIC, INC",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "951-278-8910"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Medico Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.