LOS ALAMITOS COLORECTAL SURGICAL ASSOCIATES
NPI 1043437379
Colon & Rectal Surgery in Los Alamitos, CA
About Los Alamitos Colorectal Surgical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOS ALAMITOS COLORECTAL SURGICAL ASSOCIATES (NPI 1043437379) is a healthcare organization registered as a colon & rectal surgery in Los Alamitos, California and active in the NPI registry since April 2007. The organization lists Imad Shbeeb, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Los Alamitos Colorectal Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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 Los Alamitos Colorectal Surgical Associates, 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.
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 Los Alamitos Colorectal Surgical Associates's NPI number?
The NPI number for Los Alamitos Colorectal Surgical Associates is 1043437379. It was assigned to this organization in the NPPES registry on April 19, 2007.
Where is Los Alamitos Colorectal Surgical Associates located?
Los Alamitos Colorectal Surgical Associates is located at 10931 Cherry St Suite 200, Los Alamitos, CA 90720. The listed phone number is (562) 596-7700.
What is Los Alamitos Colorectal Surgical Associates's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Los Alamitos Colorectal Surgical Associates enrolled in Medicare?
Yes. Los Alamitos Colorectal Surgical Associates is registered in the Medicare PECOS enrollment system.
When is Los Alamitos Colorectal Surgical Associates'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 January 31, 2027. 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 Los Alamitos Colorectal Surgical Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Los Alamitos Colorectal Surgical Associates. 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 Los Alamitos Colorectal Surgical Associates was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Los Alamitos Colorectal Surgical Associates · NPI 1043437379
Colon & Rectal Surgery organization in Los Alamitos, California. Organization record, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1043437379 (Entity type: Organization)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Imad Shbeeb, PRESIDENT
## Practice location
- **Address:** 10931 CHERRY ST, SUITE 200, Los Alamitos, CA 90720-2445
- **Phone:** (562) 596-7700 · **Fax:** (562) 596-7600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Colorectal Surgery (Proctology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2012
- **Other identifiers:** Medicare ID-Type Unspecified W16034 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043437379) · Data from the CMS NPPES public registry.