NPIMap

Organization Active NPI

Community Medical Wellness Centers USA

  • Federally Qualified Health Center (FQHC)
  • Sylmar, CA
National Provider Identifier
1972005528
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
14117 Hubbard St Unit M
Sylmar, CA 91342-4765
Phone
(818) 833-3066
Fax
(818) 833-3007
NPI assigned
Feb 28, 2018
Organization subpart
Yes
Parent organization
COMMUNITY MEDICAL WELLNESS CENTERS USAAs reported in NPPES

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, LCSW
Title
Ceo
Phone
(562) 472-5372

Specialties & licenses 1

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

Addresses

Primary practice location

14117 Hubbard St Unit M
Sylmar, CA 91342-4765

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240221001574 CA Part A Provider - Federally Qualified Health Center (FQHC) 1759665367 Practice locations: Sylmar, CA

Federally qualified health center certification: CCN A01844

Legal name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2023
Last certification
Jan 22, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 2021 in CA
Enrollment address
14117 Hubbard St
Unit M
Sylmar, CA 91342-4765

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
Part of
Community Medical Wellness Centers USA

Other organizations with this tax ID 5

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

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 Officer 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 OfficerBoard Chair Nov 1, 2019 100%
Sompia Paigne Individual 5% Or Greater Direct Ownership InterestCeo/Authorized Official Feb 11, 2019 100%
Corporate OfficerCeo Feb 11, 2019 100%
W-2 Managing EmployeeCeo 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, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1972005528",
    "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": "14117 HUBBARD ST UNIT M",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424765",
            "telephone_number": "818-833-3066",
            "fax_number": "818-833-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL WELLNESS CENTERS USA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICAL WELLNESS CENTERS USA",
        "enumeration_date": "2018-02-28",
        "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": "562-472-5372",
        "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": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.