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NOHO WEST MEDICAL GROUP, INC.
NPI 1093512360
Clinic/Center - Primary Care in North Hollywood, CA

Active since February 25, 2025
12511 OXNARD ST UNIT A, NORTH HOLLYWOOD, CA 91606(818) 745-8845(818) 745-8835 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Noho West Medical Group, Inc. NPPES

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

NOHO WEST MEDICAL GROUP, INC. (NPI 1093512360) is a healthcare organization registered as a primary care in North Hollywood, California and active in the NPI registry since February 2025. The organization lists Maribeth Floresta Mckinney, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1093512360
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNOHO WEST MEDICAL GROUP, INC.
Location Address12511 OXNARD ST UNIT ANorth Hollywood, CA 91606-4458
Mailing Address12511 Oxnard St Unit ANorth Hollywood, CA 91606-4458 · (818) 745-8845 · Fax (818) 745-8835
Phone(818) 745-8845
Fax(818) 745-8835
Organization SubpartNo
Authorized OfficialMaribeth Floresta MckinneyNurse Practitioner · (818) 745-7745
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1093512360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12511 OXNARD ST UNIT A, North Hollywood, CA 91606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noho West Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Noho West Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Maribeth Mckinney, MSN-FNP
Nurse Practitioner
NPI 1578878948
12511 OXNARD ST UNIT A
North Hollywood, CA 91606
(714) 654-7796
✔ PECOS✔ Accepts MedicareSame address
Eliza Ahn, M.D.
Internal Medicine
NPI 1356450498
15243 VANOWEN ST STE 311
Van Nuys, CA 91405
(747) 800-7454
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Noho West Medical Group, Inc.'s NPI number?

The NPI number for Noho West Medical Group, Inc. is 1093512360. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Noho West Medical Group, Inc. located?

Noho West Medical Group, Inc. is located at 12511 Oxnard St Unit A, North Hollywood, CA 91606. The listed phone number is (818) 745-8845.

What is Noho West Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Noho West Medical Group, Inc. enrolled in Medicare?

Yes. Noho West Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Noho West Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Noho West Medical Group, Inc., in Internal Medicine and Nurse Practitioner. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Noho West Medical Group, Inc. was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.