COMMUNITY CARE MEDICAL CENTER INC. NPI 1265093520

NPI Information

  • NPI: 1265093520
  • Provider Name: COMMUNITY CARE MEDICAL CENTER INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: CCMC/COMMUNITY CARE MEDICAL CENTER
  • CLIA Number: 05D2174999
  • Address: 13118 SHERMAN WAY
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Phone: (818) 308-6318

Map and Directions

Get Directions

NPI Details

COMMUNITY CARE MEDICAL CENTER INC. is a clinic center in North Hollywood, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY CARE MEDICAL CENTER INC. NPI is 1265093520. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccmc/community Care Medical Center.

The provider's business location address is:

13118 SHERMAN WAY
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 308-6318
Fax: (818) 308-6373

The provider's authorized official is Wendi M. Rodriguez .
The authorized official title is Ceo/administrator and has the following contact phone number (818) 308-6318.

The CLIA number assigned to this NPI record is 05D2174999 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes
2261QC1500XClinic/CenterCommunity HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI