NPIMap

Organization Active NPI

Community Medicine Inc

  • Primary Care Clinic/Center
  • Paramount, CA
National Provider Identifier
1255726808
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A50211 Issued in CA
Legal business name
COMMUNITY MEDICINE INC
Practice address
8540 Alondra Blvd
Suite B-2
Paramount, CA 90723-5200
Phone
(562) 602-2508
Fax
(562) 602-2382
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Habib J Hashmani
Title
Ceo
Phone
(562) 602-2508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 13802 CA
Primary Care Clinic/Center 261QP2300X A50211 CA Primary

Addresses

Primary practice location

8540 Alondra Blvd
Suite B-2
Paramount, CA 90723-5200

Mailing address

8540 Alondra Blvd
Suite B-2
Paramount, CA 90723-5200
Phone (562) 602-2508

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161216001265 CA Part B Supplier - Clinic/Group Practice 4183904717 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paramount, CA; Bellflower, CA
O20180424002384 CA Part A Provider - Federally Qualified Health Center (FQHC) 4183904717 Practice locations: Paramount, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255726808. Details of each certification follow.

Federally qualified health center certification: CCN 921061

Legal name
COMMUNITY MEDICINE INC
Doing business as
COMMUNITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 2, 2018
Last certification
Apr 2, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 29, 2014 in CA
Enrollment address
8540 Alondra Blvd
Ste B2
Paramount, CA 90723-5200

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Amir Ali Rajani Individual Corporate DirectorMember of the Board of Directors Jan 31, 2017
Irfan Ali Individual Corporate DirectorChairman of the Board of Directors Jan 31, 2017
Adriana Marquez Individual Corporate DirectorVice Chairman of the Board of Direc Jan 31, 2017
Shireen S Alwani Individual W-2 Managing EmployeeNursing Director Jan 31, 2017
Mohammad Gwaduri Individual Corporate DirectorTreasurer of the Board of Directors Jan 31, 2017
Community Medicine Inc Organization, Paramount, CA Non-profit 5% Or Greater Direct Ownership Interest Jan 31, 2017
Naim G Merchant Individual Corporate DirectorSecretary of the Board of Directors Jan 31, 2017
Habib J Hashmani Individual Corporate OfficerChief Executive Officer Jan 31, 2017
Operational/Managerial ControlCeo Jan 31, 2017
Roshini Lingham Individual Corporate DirectorMember of the Board of Directors Jan 31, 2017
Shehnaz N Habib Individual W-2 Managing EmployeeMedical Director Jan 31, 2017
Karima a Gulwani Individual Corporate DirectorMember of the Board of Directors Jan 31, 2017
Migdalia del Carmen Satana Gonzalez Individual Corporate DirectorMember of the Board of Directors Jan 31, 2017

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Medical CenterBellflower, CA, CCN 921943 Federally qualified health center Operational/Managerial Control Mar 1, 2020
Community Medicine IncSanta Ana, CA, CCN A01152 Federally qualified health center Operational/Managerial Control Apr 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1255726808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 ALONDRA BLVD",
            "address_2": "SUITE B-2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235200",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 ALONDRA BLVD",
            "address_2": "SUITE B-2",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235200",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "HASHMANI",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-602-2508"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "13802",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A50211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.