1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. General Practice
  6. NPI Profile

DEL REFUGIO HEALTHCARE INC
NPI 1154971018
General Practice in Los Angeles, CA

Active since September 12, 2019CLIA 05D2180661 · Waiver
4800 S CENTRAL AVE STE B, LOS ANGELES, CA 90011(626) 397-6516 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Del Refugio Healthcare Inc NPPES

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

DEL REFUGIO HEALTHCARE INC (NPI 1154971018) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Carol J Thrun, Md, as its authorized official.

NPPES Registry Identity

NPI1154971018
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDEL REFUGIO HEALTHCARE INC
Location Address4800 S CENTRAL AVE STE BLos Angeles, CA 90011-5459
Mailing Address4800 S Central Ave Ste BLos Angeles, CA 90011-5459
Phone(626) 397-6516
Organization SubpartNo
Authorized OfficialCarol J ThrunMd · (626) 379-6516
Enumeration DateSeptember 12, 2019
✔ NPI 1154971018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
4800 S CENTRAL AVE STE B, Los Angeles, CA 90011
Open in Google Maps ↗

Other Names 1

Doing Business AsDel Refugio Healthcare Inc

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Del Refugio Healthcare Inc 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 Del Refugio Healthcare Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carol Thrun, MD
General Practice
NPI 1891764536
4800 S CENTRAL AVE STE B
Los Angeles, CA 90011
(323) 918-2700
✔ PECOS✔ Accepts MedicareSame 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 of Waiver 05D2180661

Del Refugio Healthcare, Inc · Los Angeles, CA
Active · expires Mar 17, 2028
CLIA Number05D2180661
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorThrun J. Carol
Laboratory Phone(626) 397-6516
Laboratory LocationDel Refugio Healthcare, Inc4800 South Central Avenue Suite B, Los Angeles, CA 90011
CLIA data matches this NPI record on: Address Name 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 Del Refugio Healthcare Inc's NPI number?

The NPI number for Del Refugio Healthcare Inc is 1154971018. It was assigned to this organization in the NPPES registry on September 12, 2019.

Where is Del Refugio Healthcare Inc located?

Del Refugio Healthcare Inc is located at 4800 S Central Ave Ste B, Los Angeles, CA 90011. The listed phone number is (626) 397-6516.

What is Del Refugio Healthcare Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Del Refugio Healthcare Inc enrolled in Medicare?

Yes. Del Refugio Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Del Refugio Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Del Refugio Healthcare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Del Refugio Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2180661) is associated with this NPI, valid through March 17, 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 Del Refugio Healthcare Inc was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.