Northeast Community Clinic
NPI 1063927564 · Federally Qualified Health Center (FQHC) · Los Angeles, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Community Clinic is a Federally Qualified Health Center (FQHC) organization in Los Angeles, CA (NPI 1063927564).
Provider details
- NPI number
- 1063927564
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Northeast Community Clinic
- Organization subpart
- Yes
- Authorized official
- Christopher Lau, Executive Director(626) 457-6900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Diabetes & Endocrinology Specialty Center
Registry dates
- Enumerated
- 2017-12-06
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Frequently asked questions
- What is Northeast Community Clinic's NPI number?
- Northeast Community Clinic's National Provider Identifier (NPI) is 1063927564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Community Clinic?
- Northeast Community Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Northeast Community Clinic located?
- Northeast Community Clinic's practice location on file with NPPES is 1414 S Grand Ave Ste 456, Los Angeles, CA 90015-3071.
- What is Northeast Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Northeast Community Clinic is (213) 745-6047.
- Does Northeast Community Clinic accept Medicare?
- Northeast Community Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Community Clinic?
- The authorized official listed on Northeast Community Clinic's NPPES record is Christopher Lau, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Community Clinic's NPI active?
- Yes — Northeast Community Clinic's NPI (1063927564) is active in the NPPES registry as of the last update on 2021-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.