Active NPI
Integral Health Clinic West Covina
- Adult Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- INTEGRAL HEALTH CLINIC WEST COVINA
- Practice address
- 855 N Lark Ellen Ave Ste L
West Covina, CA 91791-1099 - Phone
- (626) 485-3620
- NPI assigned
- Jun 10, 2025
- Last updated
- Feb 19, 2026
- 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
- Luis Garcia-Ayala, MD
- Title
- Ceo
- Phone
- (626) 322-9779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary |
Addresses
Primary practice location
855 N Lark Ellen Ave Ste L
West Covina, CA 91791-1099
Mailing address
855 N Lark Ellen Ave Ste L
West Covina, CA 91791-1099
Phone (626) 485-3620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
855 N Lark Ellen Ave
Ste L
West Covina, CA 91791
Phone (626) 322-9779
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- West Covina, CA
- NPI 1750867255
-
- Family Medicine Physician
- La Puente, CA
- NPI 1912484148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1972498145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 N LARK ELLEN AVE STE L",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911099",
"telephone_number": "626-485-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N LARK ELLEN AVE STE L",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917911099",
"telephone_number": "626-485-3620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRAL HEALTH CLINIC WEST COVINA",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-10",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "GARCIA-AYALA",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-322-9779",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.