NPIMap

Organization Active NPI

Wilmington Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Wilmington, CA
National Provider Identifier
1760119309
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WILMINGTON COMMUNITY CLINIC
Practice address
1700 Gulf Ave
Wilmington, CA 90744-1311
Phone
(310) 549-5760
NPI assigned
Aug 3, 2022
Organization subpart
Yes
Parent organization
WILMINGTON COMMUNITY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Veronica Rodarte
Title
Revenue Cycle Manager
Phone
(310) 714-8521

Specialties & licenses 1

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

Addresses

Primary practice location

1700 Gulf Ave
Wilmington, CA 90744-1311

Mailing address

1009 N Avalon Blvd
Wilmington, CA 90744-4505
Phone (310) 549-5760

National Provider Directory

National Provider Directory
Tax ID family
Wilmington Community Clinic2 organizations share this tax ID, including this one
Part of
Wilmington Community Clinic

Other organizations with this tax ID 1

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

Locations

1700 Gulf Ave
Wilmington, CA 90744
Phone (310) 549-5760

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1760119309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444505",
            "telephone_number": "310-549-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GULF AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441311",
            "telephone_number": "310-549-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON COMMUNITY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILMINGTON COMMUNITY CLINIC",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "RODARTE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "310-714-8521"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.