OPTIMUM MEDICAL GROUP NORTH
NPI 1194498873
Family Medicine in La Canada, CA
About Optimum Medical Group North NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMUM MEDICAL GROUP NORTH (NPI 1194498873) is a healthcare organization registered as a family medicine in La Canada, California and active in the NPI registry since July 2021. The organization lists Nare Stepanyan, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Optimum Medical Group North is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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 Optimum Medical Group North, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Optimum Medical Group North's NPI number?
The NPI number for Optimum Medical Group North is 1194498873. It was assigned to this organization in the NPPES registry on July 28, 2021.
Where is Optimum Medical Group North located?
Optimum Medical Group North is located at 2258 Foothill Blvd Ste 200, La Canada, CA 91011. The listed phone number is (954) 675-3257.
What is Optimum Medical Group North's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Optimum Medical Group North enrolled in Medicare?
Yes. Optimum Medical Group North is registered in the Medicare PECOS enrollment system.
When is Optimum Medical Group North'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 October 31, 2026. 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 Optimum Medical Group North?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Optimum Medical Group North, in Family Practice and Internal 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 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 Optimum Medical Group North was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Optimum Medical Group North · NPI 1194498873
Family Medicine organization in La Canada, California. Organization record, active in the CMS NPPES registry since July 28, 2021.
## Identity
- **NPI:** 1194498873 (Entity type: Organization)
- **Enumerated:** July 28, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nare Stepanyan, PARTNER
## Practice location
- **Address:** 2258 FOOTHILL BLVD STE 200, La Canada, CA 91011-1472
- **Phone:** (954) 675-3257
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (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: Family Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194498873) · Data from the CMS NPPES public registry.