San Jose Community Clinic in Hawthorne, CA

San Jose Community Clinic is a medicare enrolled primary clinic (Clinic/center) in Hawthorne, California. The current practice location for San Jose Community Clinic is 11950 Inglewood Ave, Hawthorne, California. For appointments, you can reach them via phone at (310) 349-8338. The mailing address for San Jose Community Clinic is Po Box 903, Palos Verdes Estates, California and phone number is (310) 349-8338.

San Jose Community Clinic is licensed to practice in California (license number A055334). The clinic also participates in the medicare program and its NPI number is 1285751024. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (310) 349-8338.

Contact Information

	San Jose Community Clinic
	11950 Inglewood Ave Hawthorne CA 90250
	(310) 349-8338
	(310) 349-8340

Map and Direction

Primary Care Clinic Profile

Full Name	San Jose Community Clinic
Speciality	Clinic/Center
Location	11950 Inglewood Ave, Hawthorne, California
Authorized Official Name and Position	Reza Danesh (CEO)
Authorized Official Contact	3103498338
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
San Jose Community Clinic Po Box 903 Palos Verdes Estates CA 90274-0903 Ph: (310) 349-8338	San Jose Community Clinic 11950 Inglewood Ave Hawthorne CA 90250 Ph: (310) 349-8338

NPI Details:

NPI Number	1285751024
Provider Enumeration Date	03/25/2007
Last Update Date	06/18/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	5799724621
Medicare Enrollment ID	O20050428001279

Medical Identifiers

Medical identifiers for San Jose Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285751024	NPI	-	NPPES
00A553341	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	A055334 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. San Jose Community Clinic acts as a billing entity for following providers:

Provider Name	Reza Danesh
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1649376229 PECOS PAC ID: 0244279172 Enrollment ID: I20050429000927

Reviews and Comments

Clinic/Center in Hawthorne, CA

Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132
Behavioral Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250 Phone: 310-978-6900 Fax: 310-218-5484
Ace Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816
Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132
Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629
Northeast Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 W. 117th St Suite 105, Hawthorne, CA 90250 Phone: 424-456-6200 Fax: 424-456-6201

San Jose Community Clinic - Medicare Primary Care in Hawthorne, CA