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CLINICA VIRGEN DE GUADALUPE
NPI 1003053943
Family Medicine in Los Angeles, CA

Active since January 14, 2009CLIA 05D1096454 · Waiver
985 W VERNON AVE, LOS ANGELES, CA 90037(323) 234-6300 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Virgen De Guadalupe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA VIRGEN DE GUADALUPE (NPI 1003053943) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Odilia Walsh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003053943
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAGE MEDICAL CLINIC INC
Location Address985 W VERNON AVELos Angeles, CA 90037-3038
Mailing Address985 W Vernon AveLos Angeles, CA 90037-3038 · (323) 234-6300
Phone(323) 234-6300
Organization SubpartYesParent: Gage Maedical Clinic Inc
Authorized OfficialOdilia WalshAdministrator · (562) 706-2433
Enumeration DateJanuary 14, 2009
Last NPPES UpdateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
✔ NPI 1003053943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · NP437634✔ Licensed in CA · G29047✔ Licensed in CA · PA20034✔ Licensed in CA · A67659✔ Licensed in CA · PA19004✔ Licensed in CA · PA18238✔ Licensed in CA · PA17459
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License PA18238 (CA), PA17459 (CA), A67659 (CA), RN437634 (CA), PA19004 (CA), PA20034 (CA), G29047 (CA)
985 W VERNON AVE, Los Angeles, CA 90037
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Other Names 2

Doing Business AsClinica Virgen De Guadalupe
Doing Business AsGage Medical Clinic Inc.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1096454

Gage Medical Clinic,inc, Dba Clinica Virgen De Guadalupe · Los Angeles, CA
Active · expires Mar 3, 2027
CLIA Number05D1096454
Laboratory TypeOther
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorRichard Keech, MD
Laboratory Phone(323) 881-9620
Laboratory LocationGage Medical Clinic,inc, Dba Clinica Virgen De Guadalupe985 W Vernon Ave, Los Angeles, CA 90037
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNICARE COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
985 W VERNON AVE
LOS ANGELES, CA 90037
Los Angeles County (323) 234-6300
DR. VAHE MICHAEL AZARIAN M.D.
General Practice
985 W VERNON AVE
LOS ANGELES, CA 90037
Los Angeles County (323) 234-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gage Medical Clinic Inc's NPI number?

The NPI number for Gage Medical Clinic Inc is 1003053943. It was assigned to this organization in the NPPES registry on January 14, 2009. The provider is doing business as Clinica Virgen De Guadalupe and gAGE mEDICAL cLINIC iNC..

Where is Gage Medical Clinic Inc located?

Gage Medical Clinic Inc is located at 985 W Vernon Ave, Los Angeles, CA 90037. The listed phone number is (323) 234-6300.

What is Gage Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gage Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1096454) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gage Medical Clinic Inc was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.