CLINICA MARIA MEDICAL CENTER
NPI 1033244611
Family Medicine in South Gate, CA

Active since February 22, 2007CLIA 05D0918718 · Waiver
8100 CALIFORNIA AVE, SUITE K, SOUTH GATE, CA 90280(323) 357-1000(323) 357-1001 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Clinica Maria Medical Center NPPES

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

CLINICA MARIA MEDICAL CENTER (NPI 1033244611) is a healthcare organization registered as a family medicine in South Gate, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Rosalind George Pallivathucal, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033244611
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSALIND G. PALLIVATHUCAL MD INC.
Location Address8100 CALIFORNIA AVE, SUITE KSouth Gate, CA 90280-2469
Mailing Address8100 California AveSouth Gate, CA 90280-2469 · (323) 357-1000 · Fax (323) 357-1001
Fax(323) 357-1001
Organization SubpartNo
Authorized OfficialRosalind George PallivathucalMedical Director · (323) 357-1000
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 23, 2009
✔ NPI 1033244611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A43918
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.
8100 CALIFORNIA AVE, South Gate, CA 90280

Other Names 1

Doing Business AsClinica Maria Medical Center

Other Identifiers 3

Medicare UPINC35476CA
Medicaid0A43918CA
Medicare ID-Type UnspecifiedA43918CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D0918718

Clinica Maria Medical Center · South Gate, CA
Active · expires Sep 17, 2027
CLIA Number05D0918718
Laboratory TypeOther
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorRosalind G. Pallivathucal
Laboratory Phone(323) 357-1000
Laboratory LocationClinica Maria Medical Center8100 California Ave Ste K, South Gate, CA 90280
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
8100 CALIFORNIA AVE
SOUTH GATE, CA 90280

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 Rosalind G. Pallivathucal MD Inc.'s NPI number?

The NPI number for Rosalind G. Pallivathucal MD Inc. is 1033244611. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Clinica Maria Medical Center.

Where is Rosalind G. Pallivathucal MD Inc. located?

Rosalind G. Pallivathucal MD Inc. is located at 8100 California Ave Suite K, South Gate, CA 90280. The listed phone number is (323) 357-1000.

What is Rosalind G. Pallivathucal MD Inc.'s specialty?

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

Does Rosalind G. Pallivathucal MD Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0918718) is associated with this NPI, valid through September 17, 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 Rosalind G. Pallivathucal MD Inc. was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.