PACIFIC OCEAN MEDICAL CLINIC
NPI 1144241779
Clinic/Center - Multi-Specialty in Los Angeles, CA
About Pacific Ocean Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC OCEAN MEDICAL CLINIC (NPI 1144241779) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Manouchehr Rashti, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Pacific Ocean Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Ocean Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90025
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 Pacific Ocean Medical Clinic's NPI number?
The NPI number for Pacific Ocean Medical Clinic is 1144241779. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Pacific Ocean Medical Clinic located?
Pacific Ocean Medical Clinic is located at 12340 Santa Monica Blvd Ste 302, Los Angeles, CA 90025. The listed phone number is (310) 268-7707.
What is Pacific Ocean Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pacific Ocean Medical Clinic enrolled in Medicare?
Yes. Pacific Ocean Medical Clinic is registered in the Medicare PECOS enrollment system.
When is Pacific Ocean Medical Clinic'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 January 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 Pacific Ocean Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Pacific Ocean Medical Clinic. 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 Pacific Ocean Medical Clinic was last updated on September 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.
# Pacific Ocean Medical Clinic · NPI 1144241779
Multi-Specialty organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1144241779 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Manouchehr Rashti, PRESIDENT
## Practice location
- **Address:** 12340 SANTA MONICA BLVD STE 302, Los Angeles, CA 90025-0348
- **Phone:** (310) 268-7707 · **Fax:** (310) 268-7708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2020
- **Other identifiers:** Medicaid 00A401670 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1144241779) · Data from the CMS NPPES public registry.