Organization Active NPI

Sundaram Family Medical Clinic, Inc.

  • Specialist
  • Huntington Park, CA
National Provider Identifier
1518110287
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A67659 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 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
05D0997093Sundaram Family Medical Clinic Inc2680 E Florence Ave, Huntington Park, CA 90255Certificate of waiverNov 10, 2026

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.