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LA LIBERTAD MEDICAL CLINIC INC
NPI 1073791828
General Practice in South Gate, CA

Active since February 04, 2008CLIA 05D0918737 · Waiver
8427 LONG BEACH BLVD, SOUTH GATE, CA 90280(323) 585-2486(562) 943-7518 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About La Libertad Medical Clinic Inc NPPES

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

LA LIBERTAD MEDICAL CLINIC INC (NPI 1073791828) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 23, 2026 and lists Ricardo E Chambi, President, as its authorized official.

NPPES Registry Identity

NPI1073791828
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLA LIBERTAD MEDICAL CLINIC INC
Location Address8427 LONG BEACH BLVDSouth Gate, CA 90280-2014
Mailing AddressPo Box 3429Huntington Park, CA 90255-2329 · (323) 585-2486 · Fax (562) 943-7518
Phone(323) 585-2486
Fax(562) 943-7518
Organization SubpartYes
Authorized OfficialRicardo E ChambiPresident · (323) 585-2486
Enumeration DateFebruary 4, 2008
Last NPPES UpdateMarch 9, 2016
✔ NPI 1073791828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8427 LONG BEACH BLVD, South Gate, CA 90280
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Other Identifiers 2

Medicare PINCB246929CA
MedicaidGR0101040CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Libertad Medical Clinic 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 La Libertad Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ricardo Chambi, MD
Family Practice
NPI 1518905181
2623 E SLAUSON AVE
Huntington Park, CA 90255
(323) 585-2486
✔ PECOS✔ Accepts Medicare2.0 mi

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 05D0918737

La Libertad Medical Clinic · South Gate, CA
Active · expires Dec 23, 2026
CLIA Number05D0918737
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorRicardo E. Chambi
Laboratory Phone(213) 585-1056
Laboratory LocationLa Libertad Medical Clinic8225 Long Beach Blvd, South Gate, CA 90280
CLIA data matches this NPI record on: Name
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 La Libertad Medical Clinic Inc's NPI number?

The NPI number for La Libertad Medical Clinic Inc is 1073791828. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is La Libertad Medical Clinic Inc located?

La Libertad Medical Clinic Inc is located at 8427 Long Beach Blvd, South Gate, CA 90280. The listed phone number is (323) 585-2486.

What is La Libertad Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is La Libertad Medical Clinic Inc enrolled in Medicare?

Yes. La Libertad Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Libertad Medical Clinic Inc?

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

Yes. A Certificate of Waiver (number 05D0918737) is associated with this NPI, valid through December 23, 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 La Libertad Medical Clinic Inc was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.