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ARIEL GAVINO M.D. A MEDICAL CORPORATION
NPI 1164200739
Family Medicine - Geriatric Medicine in North Hollywood, CA

Active since September 15, 2023CLIA 05D2296659 · Waiver
6440 BELLINGHAM AVE STE 2, NORTH HOLLYWOOD, CA 91606(818) 860-4330(818) 860-4331 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ariel Gavino M.d. A Medical Corporation NPPES

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

ARIEL GAVINO M.D. A MEDICAL CORPORATION (NPI 1164200739) is a healthcare organization registered as a geriatric medicine in North Hollywood, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Ariel Gavino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164200739
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameARIEL GAVINO M.D. A MEDICAL CORPORATION
Location Address6440 BELLINGHAM AVE STE 2North Hollywood, CA 91606-1402
Mailing Address6440 Bellingham Ave Ste 2North Hollywood, CA 91606-1402 · (818) 860-4330 · Fax (818) 860-4331
Phone(818) 860-4330
Fax(818) 860-4331
Organization SubpartNo
Authorized OfficialAriel GavinoMedical Director · (818) 860-4330
Enumeration DateSeptember 15, 2023
Last NPPES UpdateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1164200739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6440 BELLINGHAM AVE STE 2, North Hollywood, CA 91606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ariel Gavino M.d. A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ariel Gavino M.D. A Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Artin Gevorgian, DPM
Podiatry
NPI 1881708824
2625 W ALAMEDA AVE STE 314
Burbank, CA 91505
(818) 841-8400
✔ PECOS✔ Accepts Medicare4.5 mi
Ariel Gavino, M.D.
Psychiatry
NPI 1659531994
1673 W BROADWAY STE 6
Anaheim, CA 92802
(714) 774-5915
✔ PECOS✔ Accepts Medicare36 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 05D2296659

Ariel Gavino MD A Medical Corporation · North Hollywood, CA
Active · expires Jan 2, 2028
CLIA Number05D2296659
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorAriel Gavino
Laboratory Phone(818) 860-4330
Laboratory LocationAriel Gavino MD A Medical Corporation6440 Bellingham Ave, Ste 2, North Hollywood, CA 91606
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 Ariel Gavino M.D. A Medical Corporation's NPI number?

The NPI number for Ariel Gavino M.D. A Medical Corporation is 1164200739. It was assigned to this organization in the NPPES registry on September 15, 2023.

Where is Ariel Gavino M.D. A Medical Corporation located?

Ariel Gavino M.D. A Medical Corporation is located at 6440 Bellingham Ave Ste 2, North Hollywood, CA 91606. The listed phone number is (818) 860-4330.

What is Ariel Gavino M.D. A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ariel Gavino M.D. A Medical Corporation enrolled in Medicare?

Yes. Ariel Gavino M.D. A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ariel Gavino M.D. A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ariel Gavino M.D. A Medical Corporation, in Podiatry and Psychiatry. 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 Ariel Gavino M.D. A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2296659) is associated with this NPI, valid through January 2, 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 Ariel Gavino M.D. A Medical Corporation was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.