NPIMap

Organization Active NPI

University Muslim Medical Association Inc

Doing business as UMMA Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
National Provider Identifier
1306547138
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Doing business as
UMMA Community Clinic
UMMA Health Vermont Clinic
Practice address
8114 S Vermont Ave
Los Angeles, CA 90044-3536
Phone
(323) 789-5610
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Alfredo Reynoso
Title
Chief Operating Officer
Phone
(323) 647-1520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8114 S Vermont Ave
Los Angeles, CA 90044-3536

Mailing address

711 W Florence Ave
Los Angeles, CA 90044-6105
Phone (323) 789-5610

Other names 2

  • UMMA Community Clinic Doing business as
  • UMMA Health Vermont Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240711001981 CA Part B Supplier - Clinic/Group Practice 8628173564 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA
O20251031000741 CA Part A Provider - Federally Qualified Health Center (FQHC) 8628173564 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306547138. Details of each certification follow.

Federally qualified health center certification: CCN A11013

Legal name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Doing business as
UMMA HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 3, 2025
Last certification
Dec 3, 2025
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
8114 S Vermont Ave
Los Angeles, CA 90044-3536

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 3

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 11

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

NameRoleSinceShare
Paul Wong Individual Corporate DirectorBoard Chair Jan 1, 2005
Munaf M Kadri Individual Corporate DirectorBoard Member Feb 1, 2009
Emily Reed Individual Corporate DirectorBoard Member May 22, 2019
Kathryn Hickman Windley Individual Corporate DirectorBoard Member Apr 25, 2018
Sandra Perkins Individual Corporate DirectorBoard Member Apr 24, 2024
Raziya Shaikh Individual Corporate DirectorTreasurer Jan 1, 1997
Shaakira Madany Individual Corporate DirectorBoard Member Mar 27, 2024
Alejandra Murillo Individual Corporate OfficerCfo Jul 20, 2020
Corporate DirectorCfo Jul 20, 2020
W-2 Managing EmployeeAd; Jul 20, 2020
Vivianna Trujillo Individual Corporate DirectorSecretary Jan 1, 2011
Rumi Cader Individual Corporate DirectorBoard Member Dec 18, 2020
Mehdireza Hirji Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1306547138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446105",
            "telephone_number": "323-789-5610",
            "fax_number": "323-789-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443536",
            "telephone_number": "323-789-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-647-1520"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMA Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMMA Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMMA Health Vermont Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.