REBECCA FITZGERALD M.D. , INC.
NPI 1083954226
Dermatology - Procedural Dermatology in Los Angeles, CA
About Rebecca Fitzgerald M.d. , Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA FITZGERALD M.D. , INC. (NPI 1083954226) is a healthcare organization registered as a procedural dermatology in Los Angeles, California and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Rebecca Louis Fitzgerald, President / Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Rebecca Fitzgerald M.d. , Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Rebecca Fitzgerald M.D. , Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Los Angeles, CA 90004
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 05D2033938
Rebecca Fitzgerald MD · Los Angeles, 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 Rebecca Fitzgerald M.D. , Inc.'s NPI number?
The NPI number for Rebecca Fitzgerald M.D. , Inc. is 1083954226. It was assigned to this organization in the NPPES registry on February 25, 2013.
Where is Rebecca Fitzgerald M.D. , Inc. located?
Rebecca Fitzgerald M.D. , Inc. is located at 321 N Larchmont Blvd Suite 906, Los Angeles, CA 90004. The listed phone number is (323) 464-8046.
What is Rebecca Fitzgerald M.D. , Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Rebecca Fitzgerald M.D. , Inc. enrolled in Medicare?
Yes. Rebecca Fitzgerald M.D. , Inc. is registered in the Medicare PECOS enrollment system.
When is Rebecca Fitzgerald M.D. , Inc.'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 November 30, 2026. 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 Rebecca Fitzgerald M.D. , Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Rebecca Fitzgerald M.D. , 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rebecca Fitzgerald M.D. , Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2033938) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rebecca Fitzgerald M.D. , Inc. was last updated on February 25, 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.
# Rebecca Fitzgerald M.d. , Inc. · NPI 1083954226
Procedural Dermatology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since February 25, 2013.
## Identity
- **NPI:** 1083954226 (Entity type: Organization)
- **Enumerated:** February 25, 2013
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** Rebecca Fitzgerald, PRESIDENT / CEO
## Practice location
- **Address:** 321 N LARCHMONT BLVD, SUITE 906, Los Angeles, CA 90004-3025
- **Phone:** (323) 464-8046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083954226) · Data from the CMS NPPES public registry.