DBA MISSION MEDICAL GROUP
NPI 1215991278
Medical Genetics, Ph.D. Medical Genetics in Panorama City, CA
About Dba Mission Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DBA MISSION MEDICAL GROUP (NPI 1215991278) is a healthcare organization registered as a medical genetics, ph.d. medical genetics in Panorama City, California and active in the NPI registry since April 2006. The organization lists Erlinda Dy Grey, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Dba Mission Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dba Mission Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Panorama City, CA 91402
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 San Fernando Mission Medical Grp's NPI number?
The NPI number for San Fernando Mission Medical Grp is 1215991278. It was assigned to this organization in the NPPES registry on April 14, 2006. The provider is doing business as Dba Mission Medical Group.
Where is San Fernando Mission Medical Grp located?
San Fernando Mission Medical Grp is located at 8215 Van Nuys Blvd 210-204, Panorama City, CA 91402. The listed phone number is (818) 782-4325.
What is San Fernando Mission Medical Grp's specialty?
The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.
Is San Fernando Mission Medical Grp enrolled in Medicare?
Yes. San Fernando Mission Medical Grp is registered in the Medicare PECOS enrollment system.
When is San Fernando Mission Medical Grp'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 March 31, 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 San Fernando Mission Medical Grp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to San Fernando Mission Medical Grp. 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 San Fernando Mission Medical Grp was last updated on October 19, 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.
# Dba Mission Medical Group · NPI 1215991278
Medical Genetics, Ph.D. Medical Genetics organization in Panorama City, California. Organization record, active in the CMS NPPES registry since April 14, 2006.
## Identity
- **NPI:** 1215991278 (Entity type: Organization)
- **Enumerated:** April 14, 2006
- **Primary specialty:** Medical Genetics, Ph.D. Medical Genetics · taxonomy 170100000X
- **Legal business name:** San Fernando Mission Medical Grp
- **Organization subpart:** No
- **Authorized official:** Erlinda Grey, MEDICAL DIRECTOR
## Practice location
- **Address:** 8215 VAN NUYS BLVD, 210-204, Panorama City, CA 91402-4810
- **Phone:** (818) 782-4325 · **Fax:** (818) 782-7320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2011
- **Other identifiers:** Medicare UPIN A26109 (CA); Medicare PIN W13008; Medicaid GR0059210 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215991278) · Data from the CMS NPPES public registry.