CLINICA MEDICA FAMILIAR SAN JUDAS MEDICAL CORPORATION
NPI 1225254055
Family Medicine in Los Angeles, CA
About Clinica Medica Familiar San Judas Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA MEDICA FAMILIAR SAN JUDAS MEDICAL CORPORATION (NPI 1225254055) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Jose A Ortiz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Clinica Medica Familiar San Judas Medical Corporation 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 Clinica Medica Familiar San Judas Medical Corporation, 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 05D1012498
Clinica Medica Familiar San Judas 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 Clinica Medica Familiar San Judas Medical Corporation's NPI number?
The NPI number for Clinica Medica Familiar San Judas Medical Corporation is 1225254055. It was assigned to this organization in the NPPES registry on April 18, 2007.
Where is Clinica Medica Familiar San Judas Medical Corporation located?
Clinica Medica Familiar San Judas Medical Corporation is located at 3900 W 3rd St, Los Angeles, CA 90020. The listed phone number is (213) 427-0400.
What is Clinica Medica Familiar San Judas Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clinica Medica Familiar San Judas Medical Corporation enrolled in Medicare?
Yes. Clinica Medica Familiar San Judas Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinica Medica Familiar San Judas Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clinica Medica Familiar San Judas Medical Corporation. 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 Clinica Medica Familiar San Judas Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1012498) is associated with this NPI, valid through May 11, 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 Clinica Medica Familiar San Judas Medical Corporation was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Clinica Medica Familiar San Judas Medical Corporation · NPI 1225254055
Family Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1225254055 (Entity type: Organization)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jose Ortiz, OWNER
## Practice location
- **Address:** 3900 W 3RD ST, Los Angeles, CA 90020-2675
- **Phone:** (213) 427-0400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225254055) · Data from the CMS NPPES public registry.