Active NPI
Clinical Innovations, Inc.
- Research Clinic/Center
- Bellflower, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- Legal business name
- CLINICAL INNOVATIONS, INC.
- Practice address
- 17800 Woodruff Ave Ste B
Bellflower, CA 90706-7080 - Phone
- (562) 748-4999
- NPI assigned
- Aug 30, 2019
- 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
- Mr. David Poling
- Title
- Cfo
- Phone
- (949) 533-5907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | Primary |
Addresses
Primary practice location
17800 Woodruff Ave Ste B
Bellflower, CA 90706-7080
Mailing address
638 Camino de Los Mares Ste H130-292
San Clemente, CA 92673-2848
Phone (949) 533-5907
Other practice location 1
801 N Tustin Ave Ste 600
Santa Ana, CA 92705-3610
Phone (714) 979-4101
Other practice location 2
5700 Division St Ste 101
Riverside, CA 92506-3237
Phone (951) 300-4924
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 |
|---|---|---|---|
| 05D1084441 | Clinical Innovations Inc | Certificate of waiver | Aug 12, 2026 |
| 05D2057442 | Clinical Innovations, Inc. | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
5700 Division St
Ste 101
Riverside, CA 92506
Phone (951) 300-4924
638 Camino de los Mares
Ste H130292
San Clemente, CA 92673
801 N Tustin Ave
Ste 600
Santa Ana, CA 92705
Phone (714) 731-6231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567123200000",
"number": "1699323832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 CAMINO DE LOS MARES STE H130-292",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732848",
"telephone_number": "949-533-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 WOODRUFF AVE STE B",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907067080",
"telephone_number": "562-748-4999"
}
],
"practiceLocations": [
{
"address_1": "801 N Tustin Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053610",
"country_code": "US",
"telephone_number": "714-979-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5700 Division St Ste 101",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925063237",
"country_code": "US",
"telephone_number": "951-300-4924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CLINICAL INNOVATIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A",
"authorized_official_last_name": "POLING",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "949-533-5907",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.