AVALON FAMILY MEDICAL GROUP INC
NPI 1114048857
Internal Medicine in Wilmington, CA

Q: What is Avalon Family Medical Group Inc's NPI number?

The NPI number for Avalon Family Medical Group Inc is 1114048857. It was assigned to this organization in the NPPES registry on April 2, 2007.

Q: What is Avalon Family Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 02, 2007CLIA 05D0553722 · Waiver

1626 N AVALON BLVD, WILMINGTON, CA 90744(310) 834-4666(310) 834-5538 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Avalon Family Medical Group Inc NPPES

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

AVALON FAMILY MEDICAL GROUP INC (NPI 1114048857) is a healthcare organization registered as an internal medicine in Wilmington, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Edgar Ibrahim El Sayad, Md, as its authorized official.

NPPES Registry Identity

NPI1114048857

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameAVALON FAMILY MEDICAL GROUP INC

Location Address1626 N AVALON BLVDWilmington, CA 90744-1431

Mailing Address1626 N Avalon BlvdWilmington, CA 90744-1431 · (310) 834-4666 · Fax (310) 834-5538

Phone(310) 834-4666

Fax(310) 834-5538

Organization SubpartNo

Authorized OfficialEdgar Ibrahim El SayadMd · (310) 325-0600

Enumeration DateApril 2, 2007

Last NPPES UpdateDecember 11, 2025

NPPES CertifiedDecember 11, 2025

✔ NPI 1114048857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A41141

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1626 N AVALON BLVD, Wilmington, CA 90744

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 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.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20050418000626Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinicians, nearest first (2)

Nabil El Sayad, M.D.

Internal Medicine

NPI 1134201791

24845 NARBONNE AVE
Lomita, CA 90717

(310) 325-0600

✔ PECOS✔ Accepts Medicare3.3 mi

Ross Berliner, DPM

Podiatry

NPI 1881603074

1417 W BEVERLY BLVD 104
Montebello, CA 90640

(323) 721-6026

✔ PECOS18 mi

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 05D0553722

Avalon Family Med Group · Wilmington, CA

Active · expires Aug 31, 2028

CLIA Number05D0553722

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorNabil El Sayad

Laboratory Phone(310) 834-4666

Laboratory LocationAvalon Family Med Group1626 N Avalon Blvd, Wilmington, CA 90744

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only 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 Avalon Family Medical Group Inc's NPI number?

The NPI number for Avalon Family Medical Group Inc is 1114048857. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Avalon Family Medical Group Inc located?

Avalon Family Medical Group Inc is located at 1626 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 834-4666.

What is Avalon Family Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Avalon Family Medical Group Inc enrolled in Medicare?

Yes. Avalon Family Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Avalon Family 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 October 31, 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 Avalon Family Medical Group Inc?

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

Does Avalon Family Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0553722) is associated with this NPI, valid through August 31, 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 Avalon Family Medical Group Inc was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.