Organization Active NPI

Clinical Innovations, Inc.

  • Research Clinic/Center
  • Bellflower, CA
National Provider Identifier
1699323832
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
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

Updated by the provider on Aug 30, 2019

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)CodeLicenseStatePrimary
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 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
05D1084441Clinical Innovations Inc5700 Division St Ste 201, Riverside, CA 92506Certificate of waiverAug 12, 2026
05D2057442Clinical Innovations, Inc.17800 Woodruff Ave Ste B, Bellflower, CA 90706Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.