COMPLETE FAMILY MEDICAL CLINIC
NPI 1043392962
Family Medicine in Los Angeles, CA
About Complete Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPLETE FAMILY MEDICAL CLINIC (NPI 1043392962) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since October 2006. The organization lists Jagan Nath Bansal, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Complete Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Complete Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jagan N. Bansal, M.D., Inc.'s NPI number?
The NPI number for Jagan N. Bansal, M.D., Inc. is 1043392962. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Complete Family Medical Clinic.
Where is Jagan N. Bansal, M.D., Inc. located?
Jagan N. Bansal, M.D., Inc. is located at 5540 N Figueroa St, Los Angeles, CA 90042. The listed phone number is (323) 478-1101.
What is Jagan N. Bansal, M.D., Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jagan N. Bansal, M.D., Inc. enrolled in Medicare?
Yes. Jagan N. Bansal, M.D., Inc. is registered in the Medicare PECOS enrollment system.
When is Jagan N. Bansal, M.D., Inc.'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 December 31, 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 Jagan N. Bansal, M.D., Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Jagan N. Bansal, M.D., Inc., in Family Practice, Internal Medicine, Otolaryngology and Pulmonary Disease. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jagan N. Bansal, M.D., Inc. was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Complete Family Medical Clinic · NPI 1043392962
Family Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1043392962 (Entity type: Organization)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jagan N. Bansal, M.d., Inc.
- **Organization subpart:** No
- **Authorized official:** Jagan Bansal, CEO
## Practice location
- **Address:** 5540 N FIGUEROA ST, Los Angeles, CA 90042-4120
- **Phone:** (323) 478-1101 · **Fax:** (323) 255-2745
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Otolaryngology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2013
- **Other identifiers:** Medicaid GR0014481 (CA); Medicare UPIN W15123 (CA); Medicare PIN W15123A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043392962) · Data from the CMS NPPES public registry.