ST. ANNE MEDICAL CLINIC PROFESSIONAL CORP
NPI 1194904482
Clinic/Center - Primary Care in Los Angeles, CA
About St. Anne Medical Clinic Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. ANNE MEDICAL CLINIC PROFESSIONAL CORP (NPI 1194904482) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since November 2007. The organization lists Anna Lourdes Armada Chickey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
St. Anne Medical Clinic Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to St. Anne Medical Clinic Professional Corp, 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.
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 St. Anne Medical Clinic Professional Corp's NPI number?
The NPI number for St. Anne Medical Clinic Professional Corp is 1194904482. It was assigned to this organization in the NPPES registry on November 2, 2007. The provider is also known as St Anne Medical Clinic, PC.
Where is St. Anne Medical Clinic Professional Corp located?
St. Anne Medical Clinic Professional Corp is located at 2536 W Temple St., Los Angeles, CA 90026. The listed phone number is (213) 385-7888.
What is St. Anne Medical Clinic Professional Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is St. Anne Medical Clinic Professional Corp enrolled in Medicare?
Yes. St. Anne Medical Clinic Professional Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Anne Medical Clinic Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to St. Anne Medical Clinic Professional Corp. 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.
When was this NPI record last updated?
The NPPES record for St. Anne Medical Clinic Professional Corp was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# St. Anne Medical Clinic Professional Corp · NPI 1194904482
Primary Care organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 2, 2007.
## Identity
- **NPI:** 1194904482 (Entity type: Organization)
- **Enumerated:** November 2, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** St Anne Medical Clinic, PC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Anna Lourdes Chickey, PRESIDENT
## Practice location
- **Address:** 2536 W TEMPLE ST., Los Angeles, CA 90026-4848
- **Phone:** (213) 385-7888 · **Fax:** (213) 385-7887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2025
- **Other identifiers:** Medicaid 00A519920 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194904482) · Data from the CMS NPPES public registry.