NPIMap

Organization Active NPI

Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • El Monte, CA
National Provider Identifier
1972912236
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CENTRAL CITY COMMUNITY HEALTH CENTER INC
Practice address
10050 Garvey Ave Ste 111
El Monte, CA 91733
Phone
(626) 652-0790
Fax
(626) 652-0799
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Rosemary Reyes, DO
Title
Ceo
Phone
(714) 490-2750

Specialties & licenses 1

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

Addresses

Primary practice location

10050 Garvey Ave Ste 111
El Monte, CA 91733

Mailing address

2019 Saturn St
Monterey Park, CA 91755-7415
Phone (233) 724-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041025001177 CA Part B Supplier - Clinic/Group Practice 6608837331 Receives reassigned benefits from 105 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Monte, CA; Upland, CA; Stanton, CA; Norco, CA; Los Angeles, CA; La Puente, CA; Indio, CA; Garden Grove, CA…
O20150824000941 CA Part A Provider - Federally Qualified Health Center (FQHC) 6608837331 Practice locations: El Monte, CA

Federally qualified health center certification: CCN 751191

Legal name
CENTRAL CITY COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 29, 2015
Last certification
Jun 29, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1994 in CA
Enrollment address
10050 Garvey Ave
Ste 111
El Monte, CA 91733-2089

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

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
05D1025008Central City Community10050 Garvey Ave, Ste 111, El Monte, CA 91733Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central City Community Health Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2235 W Ball Rd
Anaheim, CA 92804

4129 Maine Ave
Baldwin Park, CA 91706

4160 Maine Ave
Ste B1
Baldwin Park, CA 91706
Phone (626) 384-2400

81709 Doctor Carreon Blvd
Ste E2
Indio, CA 92201

81709 Doctor Carreon Blvd
Ste B2
Indio, CA 92201

1730 W Olympic Blvd
Ste 160
Los Angeles, CA 90015

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

7101 Baird Ave
Reseda, CA 91335
Phone 8183425897 ext. 2111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Juan Duran Individual Corporate DirectorBoard Member Jan 1, 2010
Violeta Wang Individual Corporate DirectorBoard Member Jan 1, 2018
Rosemary David Reyes Individual Corporate OfficerCeo Jun 1, 2021 100%
W-2 Managing EmployeeChief Executive Officer Jun 1, 2021
Melana Smith Individual Corporate DirectorBoard Member Jan 1, 2019
Larry Landless Individual Corporate DirectorBoard Secretary Jan 1, 2019
Dee Libertine Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1972912236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 SATURN ST",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557415",
            "telephone_number": "233-724-0019",
            "fax_number": "323-248-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 GARVEY AVE STE 111",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91733",
            "telephone_number": "626-652-0790",
            "fax_number": "626-652-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-490-2750",
        "authorized_official_credential": "DO"
    },
    "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 El Monte, CA

Sources for this page

Verify at the official NPI Registry.