FIVE STAR MEDICAL CLINIC
NPI 1093984171
Preferred Provider Organization in Chandler, AZ
About Five Star Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIVE STAR MEDICAL CLINIC (NPI 1093984171) is a healthcare organization registered as a preferred provider organization in Chandler, Arizona and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through October 31, 2027 and lists Maria Manuela Gonzalez-landestoy, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Five Star Medical Clinic 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 Five Star 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 for Provider-Performed Microscopy Procedures (PPMP) 03D2068332
Five Star Medical Clinic & Weight Loss Center · Chandler, AZFrequently 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 Mmgl, LLC's NPI number?
The NPI number for Mmgl, LLC is 1093984171. It was assigned to this organization in the NPPES registry on February 22, 2008. The provider is doing business as Five Star Medical Clinic.
Where is Mmgl, LLC located?
Mmgl, LLC is located at 2175 N. Alma School Rd. Suite A- 104, Chandler, AZ 85224. The listed phone number is (480) 275-4415.
What is Mmgl, LLC's specialty?
The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.
Is Mmgl, LLC enrolled in Medicare?
Yes. Mmgl, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mmgl, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mmgl, LLC. 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 Mmgl, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2068332) is associated with this NPI, valid through October 31, 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 Mmgl, LLC was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Five Star Medical Clinic · NPI 1093984171
Preferred Provider Organization organization in Chandler, Arizona. Organization record, active in the CMS NPPES registry since February 22, 2008.
## Identity
- **NPI:** 1093984171 (Entity type: Organization)
- **Enumerated:** February 22, 2008
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Legal business name:** Mmgl, Llc
- **Organization subpart:** No
- **Authorized official:** Maria Gonzalez-Landestoy, OWNER/PHYSICIAN
## Practice location
- **Address:** 2175 N. ALMA SCHOOL RD., SUITE A- 104, Chandler, AZ 85224
- **Phone:** (480) 275-4415 · **Fax:** (480) 275-4577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2020
- **Other identifiers:** Other Z78260 (AZ); Medicaid 632697 (AZ); Other 0744170 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093984171) · Data from the CMS NPPES public registry.