PASCUAL MEDICAL CENTER INC
NPI 1093516445
Family Medicine - Geriatric Medicine in N Hollywood, CA
About Pascual Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASCUAL MEDICAL CENTER INC (NPI 1093516445) is a healthcare organization registered as a geriatric medicine in N Hollywood, California and active in the NPI registry since March 2025. The organization lists Phillip Kim, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pascual Medical Center 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 Pascual Medical Center Inc, 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.
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 Pascual Medical Center Inc's NPI number?
The NPI number for Pascual Medical Center Inc is 1093516445. It was assigned to this organization in the NPPES registry on March 21, 2025.
Where is Pascual Medical Center Inc located?
Pascual Medical Center Inc is located at 12805 Victory Blvd, N Hollywood, CA 91606. The listed phone number is (279) 260-4440.
What is Pascual Medical Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Pascual Medical Center Inc enrolled in Medicare?
Yes. Pascual Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pascual Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pascual Medical Center 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.
When was this NPI record last updated?
The NPPES record for Pascual Medical Center Inc was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Pascual Medical Center Inc · NPI 1093516445
Geriatric Medicine organization in N Hollywood, California. Organization record, active in the CMS NPPES registry since March 21, 2025.
## Identity
- **NPI:** 1093516445 (Entity type: Organization)
- **Enumerated:** March 21, 2025
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Phillip Kim, CEO/OWNER
## Practice location
- **Address:** 12805 VICTORY BLVD, N Hollywood, CA 91606-3012
- **Phone:** (279) 260-4440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093516445) · Data from the CMS NPPES public registry.