WT HEALTH OF CALIFORNIA LLC
Medicare Clinicians for NPI 1063201655
Internal Medicine - Infectious Disease in Los Angeles, CA

Active since May 01, 2025
11103 VENICE BLVD, LOS ANGELES, CA 90034(954) 923-7440(954) 923-1299 Get Directions

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Dec 16, 2025 (2 updates tracked since 2025).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Wt Health Of California LLC in Los Angeles, CA bills Medicare for 40 clinicians across 4 Medicare specialties. The largest specialties are Nurse Practitioner with 35, Infectious Disease with 2 and Podiatry with 2. Of these, 1 practice at this address and 8 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

40Clinicians
4Medicare specialties
40PECOS enrolled
9Accept Medicare
40 clinicians in 4 specialties

Nurse Practitioner (35)

Nurse Practitioner
NPI 1336004381
11103 VENICE BLVD
Los Angeles, CA 90034
(954) 923-7440
✔ PECOSSame address
Nurse Practitioner
NPI 1497455760
4640 ADMIRALTY WAY STE 500
Marina Del Rey, CA 90292
(888) 880-3451
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1114519436
4640 ADMIRALTY WAY
Marina Del Rey, CA 90292
(619) 830-4278
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1952231318
6222 WILSHIRE BLVD STE 304
Los Angeles, CA 90048
(310) 733-4171
✔ PECOS4.5 mi
Nurse Practitioner
NPI 1467008441
11823 CHANERA AVE
Hawthorne, CA 90250
(661) 448-7091
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1336482744
15130 VENTURA BLVD # 251
Sherman Oaks, CA 91403
(818) 396-1944
✔ PECOS10.0 mi
Nurse Practitioner
NPI 1386912038
212 BAILEY ST APT 204
Los Angeles, CA 90033
(626) 390-2585
✔ PECOS12 mi
Nurse Practitioner
NPI 1972377489
18920 WILTON PL
Torrance, CA 90504
(310) 634-6569
✔ PECOS12 mi
Nurse Practitioner
NPI 1093436552
3634 SPENCER ST APT 205
Torrance, CA 90503
(310) 435-8927
✔ PECOS12 mi
Nurse Practitioner
NPI 1013566520
18425 BURBANK BLVD
Tarzana, CA 91356
(855) 690-0565
✔ PECOS13 mi
Nurse Practitioner
NPI 1568255305
12742 COHASSET ST
North Hollywood, CA 91605
(818) 318-7447
✔ PECOS13 mi
Nurse Practitioner
NPI 1699286252
320 ARDEN AVE STE 100
Glendale, CA 91203
(346) 376-1702
✔ PECOS13 mi
Nurse Practitioner
NPI 1619467925
22110 ROSCOE BLVD STE 201
West Hills, CA 91304
(954) 923-7440
✔ PECOS18 mi
Nurse Practitioner
NPI 1932869161
19144 KINGSBURY ST
Porter Ranch, CA 91326
(818) 390-3093
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1184302333
5150 CANDLEWOOD ST STE 18K
Lakewood, CA 90712
(424) 541-8034
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1497399430
13235 CAROLYN ST
Cerritos, CA 90703
(562) 965-7997
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1467730051
1300 S SUNSET AVE
West Covina, CA 91790
(626) 960-6999
✔ PECOS27 mi
Nurse Practitioner
NPI 1487971404
1377 S GRAND AVE
Glendora, CA 91740
(626) 857-2501
✔ PECOS32 mi
Nurse Practitioner
NPI 1003652348
2414 S FAIRVIEW ST
Santa Ana, CA 92704
(714) 641-0121
✔ PECOS36 mi
Nurse Practitioner
NPI 1285166744
15678 DEL MONTE AVE
Chino Hills, CA 91709
(504) 939-8164
✔ PECOS41 mi
Nurse Practitioner
NPI 1780255216
3516 MEADOWVIEW DR
Riverside, CA 92503
(949) 612-5488
✔ PECOS53 mi
Nurse Practitioner
NPI 1962288423
16839 RAMONA AVE STE 401
Fontana, CA 92336
(909) 429-2864
✔ PECOS57 mi
Nurse Practitioner
NPI 1538946041
17206 PIONEER WAY
San Bernardino, CA 92407
(909) 780-6600
✔ PECOS58 mi
Nurse Practitioner
NPI 1013188838
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1800
✔ PECOS61 mi
Nurse Practitioner
NPI 1851685101
4020 CHICAGO AVE # 2093
Riverside, CA 92507
(951) 546-2578
✔ PECOS61 mi
Nurse Practitioner
NPI 1205415353
2601 DEL ROSA AVE STE 242
San Bernardino, CA 92404
(840) 261-6690
✔ PECOS✔ Accepts Medicare67 mi
Nurse Practitioner
NPI 1619482718
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1598575128
29545 ACADIA CT
Menifee, CA 92585
(626) 297-3802
✔ PECOS76 mi
Nurse Practitioner
NPI 1619215506
37097 WINGED FOOT RD
Beaumont, CA 92223
(909) 800-9072
✔ PECOS✔ Accepts Medicare80 mi
Nurse Practitioner
NPI 1457823841
45617 CLASSIC WAY
Temecula, CA 92592
(619) 246-9539
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1437834603
422 N. SAN JACINTO ST.
Hemet, CA 92543
(951) 665-1100
✔ PECOS86 mi
Nurse Practitioner
NPI 1467910075
1544 WATWOOD RD
Lemon Grove, CA 91945
(619) 852-7813
✔ PECOS119 mi
Nurse Practitioner
NPI 1154787497
7391 W CHARLESTON BLVD SUITE 140
Las Vegas, NV 89117
(702) 304-2144
✔ PECOS232 mi
Nurse Practitioner
NPI 1730723388
4455 THOUSAND OAKS DR
San Antonio, TX 78233
(726) 268-7360
✔ PECOS1,215 mi
Nurse Practitioner
NPI 1720692130
70 DANBURY RD
Wilton, CT 06897
(203) 349-6334
✔ PECOS2,490 mi

Infectious Disease (2)

Infectious Disease
NPI 1518096270
11103 VENICE BLVD
Los Angeles, CA 90034
(310) 734-8526
✔ PECOS0.1 mi
Infectious Disease
NPI 1043573694
100 S RAYMOND AVE
Alhambra, CA 91801
(951) 929-6260
✔ PECOS✔ Accepts Medicare16 mi

Podiatry (2)

Podiatry
NPI 1083627285
4476 TWEEDY BLVD
South Gate, CA 90280
(323) 563-9499
✔ PECOS14 mi
Podiatry
NPI 1194055293
520 RICHEY ST #212
Corona, CA 92879
(909) 268-4577
✔ PECOS52 mi

Internal Medicine (1)

Internal Medicine
NPI 1679205207
555 E HARDY ST
Inglewood, CA 90301
(310) 673-4660
✔ PECOS5.8 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Wt Health Of California LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.