101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP
NPI 1174856348
Clinic/Center - Primary Care in Canoga Park, CA
About 101 Family Medical Group,a Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP (NPI 1174856348) is a healthcare organization registered as a primary care in Canoga Park, California and active in the NPI registry since September 2009. The organization lists Hessam Aazami, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
101 Family Medical Group,a Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to 101 Family Medical Group,a Professional Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Canoga Park, CA 91303
Canoga Park, CA 91303
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 101 Family Medical Group,a Professional Corp's NPI number?
The NPI number for 101 Family Medical Group,a Professional Corp is 1174856348. It was assigned to this organization in the NPPES registry on September 6, 2009.
Where is 101 Family Medical Group,a Professional Corp located?
101 Family Medical Group,a Professional Corp is located at 22030 Sherman Way Ste 101, Canoga Park, CA 91303. The listed phone number is (818) 312-9101.
What is 101 Family Medical Group,a Professional Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is 101 Family Medical Group,a Professional Corp enrolled in Medicare?
Yes. 101 Family Medical Group,a Professional Corp is registered in the Medicare PECOS enrollment system.
When is 101 Family Medical Group,a Professional Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through 101 Family Medical Group,a Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to 101 Family Medical Group,a Professional Corp, in General Practice and Pediatric Medicine. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for 101 Family Medical Group,a Professional Corp was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# 101 Family Medical Group,a Professional Corp · NPI 1174856348
Primary Care organization in Canoga Park, California. Organization record, active in the CMS NPPES registry since September 6, 2009.
## Identity
- **NPI:** 1174856348 (Entity type: Organization)
- **Enumerated:** September 6, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hessam Aazami, MEDICAL DIRECTOR
## Practice location
- **Address:** 22030 SHERMAN WAY STE 101, Canoga Park, CA 91303-1844
- **Phone:** (818) 312-9101 · **Fax:** (818) 312-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Pediatric Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1174856348) · Data from the CMS NPPES public registry.