NPIMap

Organization Active NPI

Community Medical Wellness Centers USA

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
National Provider Identifier
1689449571
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Practice address
1350 E Anaheim St
Long Beach, CA 90813-3776
Phone
(562) 285-7806
Fax
(562) 362-6909
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Sompia Paigne, PHD, LCSWNPI 1649416512
Title
Ceo
Phone
(562) 270-0324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1350 E Anaheim St
Long Beach, CA 90813-3776

Mailing address

1360 E Anaheim St Ste 101
Long Beach, CA 90813-5515
Phone (562) 270-0324

Other names 1

  • Community Medical Wellness Centers USA-Annex Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240224000427 CA Part A Provider - Federally Qualified Health Center (FQHC) 1759665367 Practice locations: Long Beach, CA

Federally qualified health center certification: CCN A01838

Legal name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2024
Last certification
Jan 24, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 2011 in CA
Enrollment address
1350 E Anaheim St
Long Beach, CA 90813-3776

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Wellness Centers USA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1350 E Anaheim St
Long Beach, CA 90813
Phone (562) 285-7806

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Uberto Hernandez Individual Corporate OfficerBod Member Jan 1, 2020 100%
Viseth Vann Individual Corporate Officer Nov 1, 2021 100%
Crystal Hollinsworth Individual Corporate Officer May 1, 2018 100%
Bun Sok Individual Corporate Officer Jan 1, 2016 100%
Kenneth Harley Individual Corporate OfficerChair of Bod Nov 1, 2019 100%
Sompia Paigne Individual Contracted Managing EmployeeCeo Feb 11, 2019 100%
5% Or Greater Direct Ownership InterestCeo/Authorized Official Feb 11, 2019 100%
Corporate OfficerCeo Feb 11, 2019 100%
Corporate DirectorCeo Feb 11, 2019 100%
Operational/Managerial ControlCeo Feb 11, 2019 100%
Lany Sok Individual Corporate Officer Jan 1, 2015 100%
Sok San Individual Corporate Officer Jan 1, 2015 100%
Michelle Larios Individual Corporate OfficerTreasurer Sep 1, 2019 100%
Norith Soth Individual Corporate OfficerSecretary Sep 1, 2019 100%

Owners & managing parties with NPI records 1

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

  • Sompia Paigne, LCSW
    • Clinical Social Worker
    • Long Beach, CA
    • NPI 1649416512

    5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Director, Corporate Officer, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1689449571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E ANAHEIM ST STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908135515",
            "telephone_number": "562-270-0324",
            "fax_number": "562-591-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133776",
            "telephone_number": "562-285-7806",
            "fax_number": "562-362-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL WELLNESS CENTERS USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "PAIGNE",
        "authorized_official_first_name": "SOMPIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-270-0324",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Wellness Centers USA-Annex",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.