NPIMap

Organization Active NPI

Community Medical Wellness Centers USA

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
National Provider Identifier
1235500513
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Practice address
1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514
Phone
(562) 270-0324
Fax
(562) 591-0109
NPI assigned
Oct 13, 2015
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Sompia Paigne, PHD, LCSWNPI 1649416512
Title
Ceo
Phone
(562) 270-0324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5514

Mailing address

1360 E Anaheim St Ste 101
Long Beach, CA 90813-5515
Phone (562) 270-0324

Other practice location 1

14117 Hubbard St Unit M
Sylmar, CA 91342-4765
Phone (818) 833-3066

Other practice location 2

3325 Palo Verde Ave Ste 208
Long Beach, CA 90808-4132
Phone (562) 513-5363

Other practice location 3

12444 Washington Blvd
Whittier, CA 90602-1005
Phone (562) 698-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170227002197 CA Part B Supplier - Clinic/Group Practice 1759665367 Receives reassigned benefits from 37 practitioners
Practice locations: Long Beach, CA
O20170419000142 CA Part A Provider - Federally Qualified Health Center (FQHC) 1759665367 Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235500513. Details of each certification follow.

Federally qualified health center certification: CCN 751968

Legal name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 24, 2017
Last certification
May 24, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 2011 in CA
Enrollment address
1360 E Anaheim St
Ste 101
Long Beach, CA 90813-5515

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2107667Community Medical Wellness Centers, USA1360 E Anaheim St Ste 101, Long Beach, CA 90813Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Wellness Centers USA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andy a Piskoulian Individual Corporate OfficerCeo Oct 15, 2016
W-2 Managing EmployeeCeo Oct 15, 2016

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1235500513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E ANAHEIM ST STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135515",
            "telephone_number": "562-270-0324",
            "fax_number": "562-591-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E ANAHEIM ST",
            "address_2": "SUITE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135514",
            "telephone_number": "562-270-0324",
            "fax_number": "562-591-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14117 Hubbard St Unit M",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913424765",
            "country_code": "US",
            "telephone_number": "818-833-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 Palo Verde Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908084132",
            "country_code": "US",
            "telephone_number": "562-513-5363",
            "fax_number": "562-513-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12444 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906021005",
            "country_code": "US",
            "telephone_number": "562-698-0161",
            "fax_number": "562-698-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL WELLNESS CENTERS USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "PAIGNE",
        "authorized_official_first_name": "SOMPIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-270-0324",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.