ADVANCED LUNG CENTER MEDICAL GROUP INC.
NPI 1164593323
Internal Medicine - Pulmonary Disease in Inglewood, CA
About Advanced Lung Center Medical Group Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED LUNG CENTER MEDICAL GROUP INC. (NPI 1164593323) is a healthcare organization registered as a pulmonary disease in Inglewood, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Jamshid Niknam, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Lung Center Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Advanced Lung Center Medical Group Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 05D1055435
Advanced Lung Center Medical Group · Inglewood, CAFrequently 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 Advanced Lung Center Medical Group Inc.'s NPI number?
The NPI number for Advanced Lung Center Medical Group Inc. is 1164593323. It was assigned to this organization in the NPPES registry on November 10, 2006.
Where is Advanced Lung Center Medical Group Inc. located?
Advanced Lung Center Medical Group Inc. is located at 401 S La Brea Ave Ste 205, Inglewood, CA 90301. The listed phone number is (310) 275-7575.
What is Advanced Lung Center Medical Group Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Advanced Lung Center Medical Group Inc. enrolled in Medicare?
Yes. Advanced Lung Center Medical Group Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Lung Center Medical Group Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Lung Center 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 (7) and Internal Medicine (3). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Lung Center Medical Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1055435) is associated with this NPI, valid through May 14, 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 Advanced Lung Center Medical Group Inc. was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Advanced Lung Center Medical Group Inc. · NPI 1164593323
Pulmonary Disease organization in Inglewood, California. Organization record, active in the CMS NPPES registry since November 10, 2006.
## Identity
- **NPI:** 1164593323 (Entity type: Organization)
- **Enumerated:** November 10, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Jamshid Niknam, PRESIDENT
## Practice location
- **Address:** 401 S LA BREA AVE STE 205, Inglewood, CA 90301-2321
- **Phone:** (310) 275-7575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (3); 5 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2014
- **Other identifiers:** Medicaid 00A520810 (CA); Medicare UPIN E98005 (CA); Medicare ID-Type Unspecified WA52081E (CA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164593323) · Data from the CMS NPPES public registry.