LA FAMILY MEDICAL GROUP INC
NPI 1164391009
Family Medicine - Geriatric Medicine in Burbank, CA

Active since October 30, 2025
1411 W OLIVE AVE STE B, BURBANK, CA 91506(818) 861-7333 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Family Medical Group Inc NPPES

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

LA FAMILY MEDICAL GROUP INC (NPI 1164391009) is a healthcare organization registered as a geriatric medicine in Burbank, California and active in the NPI registry since October 2025. The organization lists Vicrumdeep Tung, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1164391009
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLA FAMILY MEDICAL GROUP INC
Location Address1411 W OLIVE AVE STE BBurbank, CA 91506-2400
Mailing Address1411 W Olive Ave Ste BBurbank, CA 91506-2400
Organization SubpartNo
Authorized OfficialVicrumdeep TungCeo/ Owner · (818) 861-7333
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1164391009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1411 W OLIVE AVE STE B, Burbank, CA 91506

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)

La Family Medical Group Inc 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 La Family Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1891163499
8133 SAN FERNANDO RD STE B1
Sun Valley, CA 91352
(182) 081-0778
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1003613829
18350 ROSCOE BLVD STE 714
Northridge, CA 91325
(818) 796-2920
✔ PECOS✔ Accepts Medicare13 mi

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 La Family Medical Group Inc's NPI number?

The NPI number for La Family Medical Group Inc is 1164391009. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is La Family Medical Group Inc located?

La Family Medical Group Inc is located at 1411 W Olive Ave Ste B, Burbank, CA 91506. The listed phone number is (818) 861-7333.

What is La Family Medical Group Inc's specialty?

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

Is La Family Medical Group Inc enrolled in Medicare?

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

How many clinicians bill Medicare through La Family Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to La Family Medical Group Inc, in Internal Medicine and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for La Family Medical Group Inc was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.