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VICTOR M. WASSILY, M.D. INC.
NPI 1215169396
Internal Medicine - Nephrology in Montebello, CA

Active since August 21, 2009CLIA 05D0983617 · Waiver
111 W BEVERLY BLVD STE 217, MONTEBELLO, CA 90640(323) 722-7711(323) 722-7127 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Victor M. Wassily, M.d. Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR M. WASSILY, M.D. INC. (NPI 1215169396) is a healthcare organization registered as a nephrology in Montebello, California and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Victor M Wassily, President, as its authorized official.

NPPES Registry Identity

NPI1215169396
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameVICTOR M. WASSILY, M.D. INC.
Location Address111 W BEVERLY BLVD STE 217Montebello, CA 90640-4320
Mailing Address111 W Beverly Blvd Ste 217Montebello, CA 90640-4320 · (323) 722-7711 · Fax (323) 722-7127
Phone(323) 722-7711
Fax(323) 722-7127
Organization SubpartNo
Authorized OfficialVictor M WassilyPresident · (323) 722-7711
Enumeration DateAugust 21, 2009
✔ NPI 1215169396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A53474
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
111 W BEVERLY BLVD STE 217, Montebello, CA 90640
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING37810CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor M. Wassily, M.d. Inc. 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 Victor M. Wassily, M.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Victor Wassily, M.D.
Internal Medicine
NPI 1962423590
101 E BEVERLY BLVD STE 202
Montebello, CA 90640
(323) 722-7711
✔ PECOS✔ Accepts MedicareSame address

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 05D0983617

Victor M Wassily MD · Montebello, CA
Active · expires Aug 20, 2028
CLIA Number05D0983617
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorVictor M. Wassily
Laboratory Phone(323) 722-7711
Laboratory LocationVictor M Wassily MD101 East Beverly Blvd Suite 202, Montebello, CA 90640
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Victor M. Wassily, M.D. Inc.'s NPI number?

The NPI number for Victor M. Wassily, M.D. Inc. is 1215169396. It was assigned to this organization in the NPPES registry on August 21, 2009.

Where is Victor M. Wassily, M.D. Inc. located?

Victor M. Wassily, M.D. Inc. is located at 111 W Beverly Blvd Ste 217, Montebello, CA 90640. The listed phone number is (323) 722-7711.

What is Victor M. Wassily, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Victor M. Wassily, M.D. Inc. enrolled in Medicare?

Yes. Victor M. Wassily, M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victor M. Wassily, M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Victor M. Wassily, M.D. 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 Victor M. Wassily, M.D. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0983617) is associated with this NPI, valid through August 20, 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 Victor M. Wassily, M.D. Inc. was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.