SAN FERNANDO MEDICAL CENTER
NPI 1093933939
Family Medicine in San Fernando, CA

Active since April 24, 2007CLIA 05D0696745 · Microscopy
501 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 361-3788(818) 361-4630 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About San Fernando Medical Center NPPES

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

SAN FERNANDO MEDICAL CENTER (NPI 1093933939) is a healthcare organization registered as a family medicine in San Fernando, California and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 27, 2028 and lists Robert Partovy, President, as its authorized official.

NPPES Registry Identity

NPI1093933939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNOBLE CARE MEDICAL GROUP, INC
Location Address501 N MACLAY AVESan Fernando, CA 91340-2424
Mailing AddressPo Box 920970Sylmar, CA 91392-0970 · (818) 361-3788 · Fax (818) 361-4630
Fax(818) 361-4630
Organization SubpartNo
Authorized OfficialRobert PartovyPresident · (310) 709-4890
Enumeration DateApril 24, 2007
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1093933939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 N MACLAY AVE, San Fernando, CA 91340

Other Names 1

Doing Business AsSan Fernando Medical Center

Other Identifiers 2

Medicaid00AX70330CA
Other1063591477CA · Individual Npi Number

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Fernando Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050308001101Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Fernando Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1063591477
501 N MACLAY AVE
San Fernando, CA 91340
(818) 361-3788
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1851495154
501 N MACLAY AVE
San Fernando, CA 91340
(818) 361-3788
✔ PECOSSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0696745

Noble Care Medical Group Inc · San Fernando, CA
Active · expires Mar 27, 2028
CLIA Number05D0696745
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorRobert Partovy
Laboratory Phone(818) 361-3788
Laboratory LocationNoble Care Medical Group Inc501 N Macaly Ave, San Fernando, CA 91340
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Noble Care Medical Group, Inc's NPI number?

The NPI number for Noble Care Medical Group, Inc is 1093933939. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as San Fernando Medical Center.

Where is Noble Care Medical Group, Inc located?

Noble Care Medical Group, Inc is located at 501 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 361-3788.

What is Noble Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Noble Care Medical Group, Inc enrolled in Medicare?

Yes. Noble Care Medical Group, Inc is registered in the Medicare PECOS enrollment system.

When is Noble Care Medical Group, 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 March 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 Noble Care Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Practice, reassign their Medicare billing to Noble Care Medical Group, 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Noble Care Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0696745) is associated with this NPI, valid through March 27, 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 Noble Care Medical Group, Inc was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.