CLINICA SANTA MARIA ECHO PARK
NPI 1033304894
Specialist in Los Angeles, CA
About Clinica Santa Maria Echo Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA SANTA MARIA ECHO PARK (NPI 1033304894) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since September 2007. The organization lists Lu-wei King, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinica Santa Maria Echo Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Santa Maria Echo Park, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D1050936
Clinica Santa Maria - Echo Park · Los Angeles, 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 High Desert Womens Memorial Medical Center Apc's NPI number?
The NPI number for High Desert Womens Memorial Medical Center Apc is 1033304894. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is doing business as Clinica Santa Maria Echo Park.
Where is High Desert Womens Memorial Medical Center Apc located?
High Desert Womens Memorial Medical Center Apc is located at 625 W College St Ste 105, Los Angeles, CA 90012. The listed phone number is (213) 265-7433.
What is High Desert Womens Memorial Medical Center Apc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is High Desert Womens Memorial Medical Center Apc enrolled in Medicare?
Yes. High Desert Womens Memorial Medical Center Apc is registered in the Medicare PECOS enrollment system.
When is High Desert Womens Memorial Medical Center Apc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through High Desert Womens Memorial Medical Center Apc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to High Desert Womens Memorial Medical Center Apc. 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.
When was this NPI record last updated?
The NPPES record for High Desert Womens Memorial Medical Center Apc was last updated on July 4, 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.
# Clinica Santa Maria Echo Park · NPI 1033304894
Specialist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1033304894 (Entity type: Organization)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** High Desert Womens Memorial Medical Center Apc
- **Organization subpart:** Yes (part of High Desert Womens Memorial Medical Center Apc)
- **Authorized official:** Lu-Wei King, MEDICAL DIRECTOR
## Practice location
- **Address:** 625 W COLLEGE ST STE 105, Los Angeles, CA 90012-1650
- **Phone:** (213) 265-7433 · **Fax:** (213) 265-7531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 4, 2023
- **Other identifiers:** Medicaid 1033304894 (CA); Other DM453A (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033304894) · Data from the CMS NPPES public registry.