Active NPI
Sundaram Family Medical Clinic, Inc.
- Specialist
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A67659
- Legal business name
- SUNDARAM FAMILY MEDICAL CLINIC, INC.
- Practice address
- 2680 E Florence Ave
Huntington Park, CA 90255-4708 - Phone
- (323) 581-4665
- Fax
- (213) 581-0551
- NPI assigned
- Oct 28, 2008
- Last updated
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jawahar Sundraram, MD
- Title
- President
- Phone
- (323) 234-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A67659 | CA | Primary |
Addresses
Primary practice location
2680 E Florence Ave
Huntington Park, CA 90255-4708
Mailing address
2680 E Florence Ave
Huntington Park, CA 90255-4708
Phone (323) 581-4665
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0997093 | Sundaram Family Medical Clinic Inc | Certificate of waiver | Nov 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
10410 Lower Azusa Rd
Ste 104
El Monte, CA 91731
987 W Vernon Ave
Los Angeles, CA 90037
Phone (323) 231-4651
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1396874202
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1720082100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1518110287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-581-4665",
"fax_number": "323-581-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554708",
"telephone_number": "323-581-4665",
"fax_number": "213-581-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDARAM FAMILY MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "SUNDRARAM",
"authorized_official_first_name": "JAWAHAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-234-6300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A67659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
- Daniel Suarez, MD
- Ivan Jon Suarez, DPM
- Pauline Sullivan, REGISTERED NURSE
- Diamond Monet' Summers
- Sundaram Family Medical Clinic Inc. (Sundaram la Familia Medical Clinic)
- Sunwoong Choi, DDS, MD, Dental Corp
- Ni Ketut Supiyati
- Natalie Sustaita, NURSE PRACTIONER
- Rhyannon Joan Sutherland
- Suzanne Khalili DDS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.