La Libertad Medical Clinic Inc
A Medicare group practice based in South Gate, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1254368699), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1254368699
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050718000875 | CA | Part B Supplier - Clinic/Group Practice | 1295887024 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
La Libertad Medical Clinic Inc
- General Practice Physician
- South Gate, CA
- NPI 1295887024
-
La Libertad Medical Clinic Inc
- General Practice Physician
- South Gate, CA
- NPI 1073791828
-
La Libertad Medical Clinic Inc.
- General Practice Physician
- Walnut Park, CA
- NPI 1861882946
Practice locations
- South Gate, CA2
- Walnut Park, CA1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Mario Abrego, PAC
- Physician Assistant
- South Gate, CA
- NPI 1215089040
-
Rivellino Alberto Aguilar, PHYSICIAN ASSISTANT
- Physician Assistant
- South Gate, CA
- NPI 1346361888
-
Ricardo E Chambi, MD
- General Practice Physician
- Huntington Park, CA
- NPI 1518905181
-
Daniel Rey Pallan, PA
- Medical Physician Assistant
- South Gate, CA
- NPI 1457577587
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.