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TRADITIONAL FAMILY PRACTICE INC
NPI 1053507822
Family Medicine in Torrance, CA

Active since September 14, 2007CLIA 05D1031043 · Waiver
2204 TORRANCE BLVD, SUITE 105, TORRANCE, CA 90501(310) 328-2146(310) 328-2242 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Traditional Family Practice Inc NPPES

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

TRADITIONAL FAMILY PRACTICE INC (NPI 1053507822) is a healthcare organization registered as a family medicine in Torrance, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Ludmila Afonicheva, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053507822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRADITIONAL FAMILY PRACTICE INC
Location Address2204 TORRANCE BLVD, SUITE 105Torrance, CA 90501-2544
Mailing Address2204 Torrance Blvd, Suite 105Torrance, CA 90501-2544 · (310) 328-2146 · Fax (310) 328-2242
Phone(310) 328-2146
Fax(310) 328-2242
Organization SubpartNo
Authorized OfficialLudmila AfonichevaCeo · (310) 328-2146
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJune 17, 2013
✔ NPI 1053507822 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 · W17913
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.
2204 TORRANCE BLVD, Torrance, CA 90501
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Other Identifiers 2

Medicare UPINI00831CA
Medicare PINW17913CA

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)

Traditional Family Practice Inc 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 Traditional Family Practice Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ludmila Afonicheva, MD
Family Practice
NPI 1932159530
2204 TORRANCE BLVD STE 105
Torrance, CA 90501
(310) 328-2146
✔ 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 05D1031043

Traditional Family Practice Inc · Torrance, CA
Active · expires Sep 21, 2028
CLIA Number05D1031043
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorLudmila W. Afonicheva MD
Laboratory Phone(310) 328-2146
Laboratory LocationTraditional Family Practice Inc23639 Hawthorne Blvd, Ste 200, Torrance, CA 90505
CLIA data matches this NPI record on: 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 Traditional Family Practice Inc's NPI number?

The NPI number for Traditional Family Practice Inc is 1053507822. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is Traditional Family Practice Inc located?

Traditional Family Practice Inc is located at 2204 Torrance Blvd Suite 105, Torrance, CA 90501. The listed phone number is (310) 328-2146.

What is Traditional Family Practice Inc's specialty?

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

Is Traditional Family Practice Inc enrolled in Medicare?

Yes. Traditional Family Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traditional Family Practice Inc?

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

Yes. A Certificate of Waiver (number 05D1031043) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Traditional Family Practice Inc was last updated on June 17, 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.