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M.D. MEDICAL CENTER, INC
NPI 1124051578
Family Medicine in Monterey Park, CA

Active since July 09, 2006CLIA 05D0563695 · Waiver
600 N GARFIELD AVE, SUITE 111, MONTEREY PARK, CA 91754(626) 280-3651(626) 280-3079 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About M.d. Medical Center, Inc NPPES

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

M.D. MEDICAL CENTER, INC (NPI 1124051578) is a healthcare organization registered as a family medicine in Monterey Park, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Terry M Lee, President, as its authorized official.

NPPES Registry Identity

NPI1124051578
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameM.D. MEDICAL CENTER, INC
Location Address600 N GARFIELD AVE, SUITE 111Monterey Park, CA 91754-1166
Mailing Address600 N Garfield Ave, Suite 111Monterey Park, CA 91754-1166 · (626) 280-3651 · Fax (626) 280-3079
Phone(626) 280-3651
Fax(626) 280-3079
Organization SubpartNo
Authorized OfficialTerry M LeePresident · (626) 280-3651
Enumeration DateJuly 9, 2006
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1124051578 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 · G62452
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.
600 N GARFIELD AVE, Monterey Park, CA 91754
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G624520CA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M.d. Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to M.D. Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Terry Lee, M.D.
Family Practice
NPI 1184796104
600 N GARFIELD AVE SUITE 111
Monterey Park, CA 91754
(626) 280-3651
✔ PECOS✔ Accepts MedicareSame address
Winnie Chan
Nurse Practitioner
NPI 1396552741
600 N GARFIELD AVE STE 111
Monterey Park, CA 91754
(626) 280-3651
✔ PECOS✔ Accepts Medicare0.9 mi
Jessica Wu, FNP-C
Nurse Practitioner
NPI 1265972301
600 N GARFIELD AVE STE 111
Monterey Park, CA 91754
(626) 280-3651
✔ PECOS✔ Accepts Medicare0.9 mi
Jennifer Vida Callueng, NP
Nurse Practitioner
NPI 1518589944
14051 RAMONA PKWY
Baldwin Park, CA 91706
(626) 960-3753
✔ PECOS✔ Accepts Medicare9.3 mi
Edielyn Quijano, NP
Nurse Practitioner
NPI 1982974705
14051 RAMONA PKWY
Baldwin Park, CA 91706
(626) 960-3753
✔ PECOS✔ Accepts Medicare9.3 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 05D0563695

MD Medical Center · Monterey Park, CA
Active · expires Apr 30, 2028
CLIA Number05D0563695
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorTerry M. Lee
Laboratory Phone(626) 280-3651
Laboratory LocationMD Medical Center600 N Garfield Ave, Ste 111, Monterey Park, CA 91754
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 M.D. Medical Center, Inc's NPI number?

The NPI number for M.D. Medical Center, Inc is 1124051578. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is M.D. Medical Center, Inc located?

M.D. Medical Center, Inc is located at 600 N Garfield Ave Suite 111, Monterey Park, CA 91754. The listed phone number is (626) 280-3651.

What is M.D. Medical Center, Inc's specialty?

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

Is M.D. Medical Center, Inc enrolled in Medicare?

Yes. M.D. Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M.D. Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to M.D. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does M.D. Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0563695) is associated with this NPI, valid through April 30, 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 M.D. Medical Center, Inc was last updated on April 23, 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.