CLINICA FAMILIAR SAN LUCAS
NPI 1043462443
Surgery in Lynwood, CA

Q: What is Clinica Familiar San Lucas's NPI number?

The NPI number for Clinica Familiar San Lucas is 1043462443. It was assigned to this organization in the NPPES registry on October 16, 2008.

Q: What is Clinica Familiar San Lucas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 16, 2008CLIA 05D1089972 · Waiver

11050 S ATLANTIC AVE, LYNWOOD, CA 90262(310) 635-3800(310) 635-0364 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Clinica Familiar San Lucas NPPES

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

CLINICA FAMILIAR SAN LUCAS (NPI 1043462443) is a healthcare organization registered as a surgery in Lynwood, California and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Basil Felahy, President, as its authorized official.

NPPES Registry Identity

NPI1043462443

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCLINICA FAMILIAR SAN LUCAS

Location Address11050 S ATLANTIC AVELynwood, CA 90262-3068

Mailing Address221 E Glenoaks Blvd, Suite 130Glendale, CA 91207-2085 · (818) 549-1713 · Fax (818) 549-1716

Phone(310) 635-3800

Fax(310) 635-0364

Organization SubpartNo

Authorized OfficialBasil FelahyPresident · (310) 635-3800

Enumeration DateOctober 16, 2008

Last NPPES UpdateMarch 16, 2021

NPPES CertifiedMarch 16, 2021

✔ NPI 1043462443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A36908

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

11050 S ATLANTIC AVE, Lynwood, CA 90262

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Familiar San Lucas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Familiar San Lucas, which bills Medicare for the services this clinician delivers.

Clinician (1)

Basil Felahy, MD

Family Practice

NPI 1245389238

11050 ATLANTIC AVE
Lynwood, CA 90262

(310) 635-3800

✔ PECOS✔ Accepts MedicareSame address

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 05D1089972

Clinica Familiar San Lucas · Lynwood, CA

Active · expires Oct 21, 2026

CLIA Number05D1089972

Laboratory TypePhysician Office

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorBasil Felahy MD

Laboratory Phone(310) 635-3800

Laboratory LocationClinica Familiar San Lucas11050 S Atlantic Ave, Lynwood, CA 90262

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Familiar San Lucas's NPI number?

The NPI number for Clinica Familiar San Lucas is 1043462443. It was assigned to this organization in the NPPES registry on October 16, 2008.

Where is Clinica Familiar San Lucas located?

Clinica Familiar San Lucas is located at 11050 S Atlantic Ave, Lynwood, CA 90262. The listed phone number is (310) 635-3800.

What is Clinica Familiar San Lucas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Clinica Familiar San Lucas enrolled in Medicare?

Yes. Clinica Familiar San Lucas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Familiar San Lucas?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clinica Familiar San Lucas. 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 Clinica Familiar San Lucas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1089972) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Familiar San Lucas was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.