NPIMap

Organization Active NPI

Community Medicine Inc

Doing business as Community Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bellflower, CA
National Provider Identifier
1497397806
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY MEDICINE INC
Doing business as
Community Medical Center
Practice address
8800 Alondra Blvd Ste C
Bellflower, CA 90706-4302
Phone
(562) 602-2508
NPI assigned
Oct 17, 2019
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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 1

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

Addresses

Primary practice location

8800 Alondra Blvd Ste C
Bellflower, CA 90706-4302

Mailing address

8800 Alondra Blvd Ste C
Bellflower, CA 90706-4355
Phone (562) 602-2508

Other names 1

  • Community Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.communitymedicineinc.org

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
O20200615003219 CA Part A Provider - Federally Qualified Health Center (FQHC) 4183904717 Practice locations: Bellflower, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497397806. Details of each certification follow.

Federally qualified health center certification: CCN 921943

Legal name
COMMUNITY MEDICINE INC
Doing business as
COMMUNITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 4, 2020
Last certification
Jun 4, 2020
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
May 29, 2014 in CA
Enrollment address
8800 Alondra Blvd
Ste C
Bellflower, CA 90706-4355

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
Tax ID family
Community Medicine Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 13

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 Aug 7, 2015
Irfan Ali Individual Corporate OfficerChairman of the Board Mar 1, 2017
Adriana Marquez Individual Corporate DirectorVice Chairperson of the Board Apr 9, 2017
Shireen S Alwani Individual W-2 Managing EmployeeChief Operating Officer Jan 7, 2012
Mohammad Gwaduri Individual Corporate DirectorTreasurer of the Board Jan 10, 2016
Community Medicine Inc Organization, Bellflower, CA Medical provider/supplier, Non-profit Operational/Managerial Control Mar 1, 2020
Naim G Merchant Individual Corporate DirectorMember of the Board Aug 7, 2015
Habib J Hashmani Individual Corporate OfficerChief Executive Officer Jan 7, 2012
Miriam Espejo Individual Corporate DirectorSecretary of the Board Feb 3, 2019
Shehnaz N Habib Individual Corporate OfficerMedical Director Jan 7, 2012
Mina Hwang Individual Corporate DirectorMember of the Board Feb 3, 2019
Karima a Gulwani Individual Corporate DirectorMember of the Board Jan 15, 2018
Migdalia del Carmen Satana Gonzalez Individual Corporate DirectorMember of the Board Jan 15, 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 CenterParamount, CA, CCN 921061 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 31, 2017
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 11

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": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1497397806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 ALONDRA BLVD STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064355",
            "telephone_number": "562-602-2508",
            "fax_number": "562-602-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ALONDRA BLVD STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064302",
            "telephone_number": "562-602-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.communitymedicineinc.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "8800 Alondra Blvd Ste C",
            "city": "Bellflower",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907064302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.