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INDIANA FIRST MEDICAL GROUP
NPI 1063591584
Family Medicine in Los Angeles, CA

Active since November 03, 2006CLIA 05D0545439 · Waiver
4082 WHITTIER BLVD STE 103, LOS ANGELES, CA 90023(323) 268-5598(323) 268-8892 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2021, May 5, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Indiana First Medical Group NPPES

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

INDIANA FIRST MEDICAL GROUP (NPI 1063591584) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Pei Hsin Chao, Owner, as its authorized official.

NPPES Registry Identity

NPI1063591584
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDIANA FIRST MEDICAL GROUP INC
Location Address4082 WHITTIER BLVD STE 103Los Angeles, CA 90023-2559
Mailing AddressPo Box 63202Los Angeles, CA 90063-0202 · (323) 268-5598 · Fax (323) 268-8892
Phone(323) 268-5598
Fax(323) 268-8892
Organization SubpartNo
Authorized OfficialPei Hsin ChaoOwner · (323) 268-5598
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 3, 20213 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1063591584 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 · A048560
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.
4082 WHITTIER BLVD STE 103, Los Angeles, CA 90023
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Other Names 1

Doing Business AsIndiana First Medical Group

Other Identifiers 1

MedicaidZZZ81352ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D0545439

Indiana-First Medical Group Inc · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0545439
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeggy Chao MD
Laboratory Phone(323) 268-5398
Laboratory LocationIndiana-First Medical Group Inc4082 East Whittier Boulevard, #103, Los Angeles, CA 90023
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEI H. CHAO M.D.
Family Medicine
4082 WHITTIER BLVD STE 103
LOS ANGELES, CA 90023
Los Angeles County (323) 268-5598

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 Indiana First Medical Group Inc's NPI number?

The NPI number for Indiana First Medical Group Inc is 1063591584. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Indiana First Medical Group.

Where is Indiana First Medical Group Inc located?

Indiana First Medical Group Inc is located at 4082 Whittier Blvd Ste 103, Los Angeles, CA 90023. The listed phone number is (323) 268-5598.

What is Indiana First Medical Group Inc's specialty?

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

Does Indiana First Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0545439) is associated with this NPI, valid through August 31, 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 Indiana First Medical Group Inc was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.