INGLEWOOD FAMILY MEDICAL CLINIC
NPI 1073832887
Family Medicine in Inglewood, CA
About Inglewood Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INGLEWOOD FAMILY MEDICAL CLINIC (NPI 1073832887) is a healthcare organization registered as a family medicine in Inglewood, California and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Robin Deanna Riley-garner, Sec/tres, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Inglewood Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Inglewood Family Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D1021698
Inglewood Family Medical Clinic · Inglewood, CAFrequently 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 Inglewood Family Medical Clinic Corp's NPI number?
The NPI number for Inglewood Family Medical Clinic Corp is 1073832887. It was assigned to this organization in the NPPES registry on May 19, 2010. The provider is doing business as Inglewood Family Medical Clinic.
Where is Inglewood Family Medical Clinic Corp located?
Inglewood Family Medical Clinic Corp is located at 3215 W Imperial Hwy, Inglewood, CA 90303. The listed phone number is (310) 677-3595.
What is Inglewood Family Medical Clinic Corp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Inglewood Family Medical Clinic Corp enrolled in Medicare?
Yes. Inglewood Family Medical Clinic Corp is registered in the Medicare PECOS enrollment system.
When is Inglewood Family Medical Clinic Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Inglewood Family Medical Clinic Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Inglewood Family Medical Clinic Corp. 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 Inglewood Family Medical Clinic Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1021698) is associated with this NPI, valid through January 28, 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 Inglewood Family Medical Clinic Corp was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Inglewood Family Medical Clinic · NPI 1073832887
Family Medicine organization in Inglewood, California. Organization record, active in the CMS NPPES registry since May 19, 2010.
## Identity
- **NPI:** 1073832887 (Entity type: Organization)
- **Enumerated:** May 19, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Inglewood Family Medical Clinic Corp
- **Organization subpart:** No
- **Authorized official:** Robin Riley-Garner, SEC/TRES
## Practice location
- **Address:** 3215 W IMPERIAL HWY, Inglewood, CA 90303-2810
- **Phone:** (310) 677-3595 · **Fax:** (310) 355-8373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073832887) · Data from the CMS NPPES public registry.