Active NPI
NPC Medical Group, Professional Corporation
- Multi-Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1528876547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NPC MEDICAL GROUP, PROFESSIONAL CORPORATION
- Practice address
- 1002 N Vermont Ave
Los Angeles, CA 90029-2620 - Phone
- (323) 922-1022
- Fax
- (323) 922-1021
- NPI assigned
- Dec 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Melendez
- Title
- General Manager
- Phone
- (310) 918-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1002 N Vermont Ave
Los Angeles, CA 90029-2620
Mailing address
1002 N Vermont Ave
Los Angeles, CA 90029-2620
Phone (323) 922-1022
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2328641 | NPC Medical Group Professional Corporation | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- NPC Medical Group Professional Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Beverly Hills, CA
- NPI 1619772407
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Sun Valley, CA
- NPI 1427093236
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1205851615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739577600000",
"number": "1528876547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292620",
"telephone_number": "323-922-1022",
"fax_number": "323-922-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292620",
"telephone_number": "323-922-1022",
"fax_number": "323-922-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NPC MEDICAL GROUP, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2025-02-15",
"certification_date": "2025-02-15",
"status": "A",
"authorized_official_last_name": "MELENDEZ",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "310-918-9100"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.