CITRUS MEDICAL CLINIC PROFESSIONAL CORP
NPI 1013605187
Clinic/Center - Primary Care in Fountain Valley, CA
About Citrus Medical Clinic Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITRUS MEDICAL CLINIC PROFESSIONAL CORP (NPI 1013605187) is a healthcare organization registered as a primary care in Fountain Valley, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Alvaro Valenzuela, General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Citrus Medical Clinic Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Citrus Medical Clinic Professional Corp, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Perris, CA 92571
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2292172
Citrus Medical Clinic Professional Corp · Fountain Valley, CAFrequently 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 Citrus Medical Clinic Professional Corp's NPI number?
The NPI number for Citrus Medical Clinic Professional Corp is 1013605187. It was assigned to this organization in the NPPES registry on April 27, 2023.
Where is Citrus Medical Clinic Professional Corp located?
Citrus Medical Clinic Professional Corp is located at 10900 Warner Ave Ste 111, Fountain Valley, CA 92708. The listed phone number is (714) 369-2554.
What is Citrus Medical Clinic Professional Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Citrus Medical Clinic Professional Corp enrolled in Medicare?
Yes. Citrus Medical Clinic Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Citrus Medical Clinic Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Citrus Medical Clinic Professional Corp, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Citrus Medical Clinic Professional Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2292172) is associated with this NPI, valid through October 19, 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 Citrus Medical Clinic Professional Corp was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Citrus Medical Clinic Professional Corp · NPI 1013605187
Primary Care organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since April 27, 2023.
## Identity
- **NPI:** 1013605187 (Entity type: Organization)
- **Enumerated:** April 27, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Alvaro Valenzuela, GENERAL MANAGER
## Practice location
- **Address:** 10900 WARNER AVE STE 111, Fountain Valley, CA 92708-3846
- **Phone:** (714) 369-2554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013605187) · Data from the CMS NPPES public registry.