EL MONTE FAMILY CLINIC
NPI 1164186318
Family Medicine in El Monte, CA

Active since October 25, 2021CLIA 05D2307476 · Waiver
4200 PECK RD STE B, EL MONTE, CA 91732(626) 350-5073 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About El Monte Family Clinic NPPES

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

EL MONTE FAMILY CLINIC (NPI 1164186318) is a healthcare organization registered as a family medicine in El Monte, California and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Eduardo Lares, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164186318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJML MEDICAL GROUP INC
Location Address4200 PECK RD STE BEl Monte, CA 91732-2177
Mailing Address4200 Peck Rd Ste BEl Monte, CA 91732-2177 · (626) 350-5073
Organization SubpartNo
Authorized OfficialEduardo LaresMedical Director · (626) 673-5439
Enumeration DateOctober 25, 2021
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1164186318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedEmergency MedicineTaxonomy 207P00000X
4200 PECK RD STE B, El Monte, CA 91732

Other Names 1

Doing Business AsEl Monte Family Clinic

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)

El Monte Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to El Monte Family Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1932944402
11447 HART ST
Artesia, CA 90701
(562) 360-6977
✔ PECOS15 mi
Nurse Practitioner
NPI 1518067081
3130 HARBOR BLVD STE 250
Santa Ana, CA 92704
(888) 878-0009
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1497964688
12030 STONE GATE WAY
Porter Ranch, CA 91326
(818) 832-9757
✔ PECOS35 mi
Emergency Medicine
NPI 1528264371
11234 ANDERSON ST LLUMC, HOUSE STAFF OFFICE CP 21005
Loma Linda, CA 92354
(909) 558-8131
✔ PECOS✔ Accepts Medicare43 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 2

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 05D2307476

Jml Medical Group Inc · El Monte, CA
Active · expires Jul 8, 2028
CLIA Number05D2307476
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorEduardo Lares
Laboratory Phone(626) 350-5073
Laboratory LocationJml Medical Group Inc4200 Peck Rd Ste B, El Monte, CA 91732
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2269470

Jml Medical Group · El Monte, CA
Expired · Sep 26, 2026
CLIA Number05D2269470
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorEduardo Lares
Laboratory Phone(626) 350-5073
Laboratory LocationJml Medical Group4200 Peck Road, El Monte, CA 91732
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 Jml Medical Group Inc's NPI number?

The NPI number for Jml Medical Group Inc is 1164186318. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as El Monte Family Clinic.

Where is Jml Medical Group Inc located?

Jml Medical Group Inc is located at 4200 Peck Rd Ste B, El Monte, CA 91732. The listed phone number is (626) 350-5073.

What is Jml Medical Group Inc's specialty?

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

Is Jml Medical Group Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Jml Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Jml Medical Group 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 (3) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jml Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2307476) is associated with this NPI, valid through July 8, 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 Jml Medical Group Inc was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.