SANA MEDICAL GROUP
NPI 1194900175
Family Medicine in Los Angeles, CA
About Sana Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANA MEDICAL GROUP (NPI 1194900175) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Jose L Villagomez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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)
Sana Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sana Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D0975146
Sana Medical Group, Inc · Los Angeles, 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 Sana Medical Group, Inc.'s NPI number?
The NPI number for Sana Medical Group, Inc. is 1194900175. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is also known as Sana Medical Group.
Where is Sana Medical Group, Inc. located?
Sana Medical Group, Inc. is located at 12099 W Washington Blvd Ste 400, Los Angeles, CA 90066. The listed phone number is (310) 398-3803.
What is Sana Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sana Medical Group, Inc. enrolled in Medicare?
Yes. Sana Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is Sana Medical Group, Inc.'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 December 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 Sana Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Sana 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sana Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0975146) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sana Medical Group, Inc. was last updated on December 8, 2010. 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.
# Sana Medical Group · NPI 1194900175
Family Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 8, 2008.
## Identity
- **NPI:** 1194900175 (Entity type: Organization)
- **Enumerated:** January 8, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Sana Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Jose Villagomez, PRESIDENT
## Practice location
- **Address:** 12099 W WASHINGTON BLVD, STE 400, Los Angeles, CA 90066-5882
- **Phone:** (310) 398-3803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2010
- **Other identifiers:** Medicare PIN W14845 (CA); Other GR0086970 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194900175) · Data from the CMS NPPES public registry.