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PROVIDENCE MEDICAL INSTITUTE
NPI 1235182569
Family Medicine in Torrance, CA

Active since May 18, 2006CLIA Certified · 4 labs
4101 TORRANCE BLVD, TORRANCE, CA 90503(310) 793-8075(310) 793-8195 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Providence Medical Institute NPPES

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

PROVIDENCE MEDICAL INSTITUTE (NPI 1235182569), doing business as Providence Little Company Of Mary Medical Institute, is a healthcare organization registered as a family medicine in Torrance, California and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates and lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1235182569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE MEDICAL INSTITUTE
Location Address4101 TORRANCE BLVDTorrance, CA 90503-4607
Mailing AddressPo Box 31001-3029Pasadena, CA 91110-3029 · (310) 793-8075 · Fax (310) 793-8195
Phone(310) 793-8075
Fax(310) 793-8195
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1235182569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedHospitalistTaxonomy 208M00000X
4101 TORRANCE BLVD, Torrance, CA 90503
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Other Names 1

Doing Business AsProvidence Little Company Of Mary Medical Institute

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Providence Medical Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

266

Medicare enrollment records show 266 clinicians reassign Medicare billing to Providence Medical Institute, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 135 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Internal Medicine66
Family Practice50
Nurse Practitioner29
Neurology26
Obstetrics/Gynecology14
Cardiovascular Disease (Cardiology)11
Emergency Medicine9
Orthopedic Surgery8
26 other specialties53

Nearest to this location (20)

See all 266
Rudo Benjamin, MD
Internal Medicine
NPI 1295736676
4101 TORRANCE BLVD. 2ND FLOOR CHE
Torrance, CA 90503
(310) 303-6833
✔ PECOS✔ Accepts MedicareSame address
Natasha Dang, M.D.
Internal Medicine
NPI 1205240264
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Carl Feld, MD
Internal Medicine
NPI 1205837697
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Jiachiahn Hsu, MD
Internal Medicine
NPI 1942478086
4101 TORRANCE BLVD PROVIDENCE LCOM HOSPITALIST OFFICE, CHE
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Amer Khan, MD
Internal Medicine
NPI 1770889792
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
So Won Kim, MD
Hospitalist
NPI 1316696453
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Nguyen Tai, MD
Internal Medicine
NPI 1710475777
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 540-7676
✔ PECOS✔ Accepts MedicareSame address
Allison Arch, M.D.
Neurology
NPI 1043509953
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Cindy Kim, MD
Internal Medicine
NPI 1104181098
4101 TORRANCE BLVD PROVIDENCE MEDICAL INSTITUTE
Torrance, CA 90503
(310) 543-7025
✔ PECOS✔ Accepts MedicareSame address
Yih Lin Nien, M.D.
Neurology
NPI 1821204314
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 303-5250
✔ PECOS✔ Accepts MedicareSame address
Carlos Rodriguez, MD
Internal Medicine
NPI 1578815213
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 303-6833
✔ PECOS✔ Accepts MedicareSame address
Farah Villanueva, D.O.
Neurology
NPI 1144511262
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 374-8191
✔ PECOS✔ Accepts MedicareSame address
Sandy Cho, M.D.
Internal Medicine
NPI 1649320938
4101 TORRANCE BLVD
Torrance, CA 90503
(310) 540-7676
✔ PECOS✔ Accepts MedicareSame address
Heros Amerkhanian, DO, MPH
Neurology
NPI 1760045785
4201 TORRANCE BLVD STE 560
Torrance, CA 90503
(424) 212-5360
✔ PECOS✔ Accepts Medicare0.1 mi
Kinda Pineda, FNP
Nurse Practitioner
NPI 1245079805
4201 TORRANCE BLVD STE 260
Torrance, CA 90503
(424) 212-5333
✔ PECOS✔ Accepts Medicare0.1 mi
Melanie Santos, M.D.
Obstetrics/Gynecology
NPI 1720262470
4201 TORRANCE BLVD STE 260
Torrance, CA 90503
(424) 212-5333
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Tamrazian
General Surgery
NPI 1881078251
4201 TORRANCE BLVD STE 560
Torrance, CA 90503
(424) 212-5360
✔ PECOS✔ Accepts Medicare0.1 mi
Bahman Bandari, MD
Internal Medicine
NPI 1083615298
20911 EARL ST SUITE 440
Torrance, CA 90503
(310) 419-8585
✔ PECOS✔ Accepts Medicare0.2 mi
Stuart Horn, AU.D.
Qualified Audiologist
NPI 1164699658
20911 EARL ST STE 260
Torrance, CA 90503
(310) 371-0040
✔ Accepts Medicare0.2 mi
Alan Chen, M.D.
Gastroenterology
NPI 1033539945
20911 EARL ST STE 220
Torrance, CA 90503
(310) 214-7236
✔ PECOS✔ Accepts Medicare0.2 mi
See all 266 clinicians

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 4

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0722699

Providence Medical Institute · Torrance, CA
Active · expires Aug 31, 2028
CLIA Number05D0722699
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJames N. Scharffenberger
Laboratory Phone(310) 370-7277
Laboratory LocationProvidence Medical Institute20911 Earl St Suite 480, Torrance, CA 90503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2118212

Providence Medical Institute · Torrance, CA
Active · expires Aug 31, 2028
CLIA Number05D2118212
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGabriele Engelhardt
Laboratory Phone(310) 792-4056
Laboratory LocationProvidence Medical Institute4201 Torrance Blvd Ste 260, Torrance, CA 90503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2146697

Providence Medical Institute · Torrance, CA
Active · expires Apr 3, 2028
CLIA Number05D2146697
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDenise Ishimaru
Laboratory Phone(310) 419-8585
Laboratory LocationProvidence Medical Institute20911 Earl St Ste 440, Torrance, CA 90503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2142048

Providence Medical Institute · Torrance, CA
Active · expires Jan 1, 2028
CLIA Number05D2142048
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorAllison E. Arch
Laboratory Phone(424) 212-5360
Laboratory LocationProvidence Medical Institute4201 Torrance Blvd Ste 560, Torrance, CA 90503
CLIA data matches this NPI record on: Name
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 Providence Medical Institute's NPI number?

The NPI number for Providence Medical Institute is 1235182569. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Providence Little Company of Mary Medical Institute.

Where is Providence Medical Institute located?

Providence Medical Institute is located at 4101 Torrance Blvd, Torrance, CA 90503. The listed phone number is (310) 793-8075.

What is Providence Medical Institute's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Providence Medical Institute enrolled in Medicare?

Yes. Providence Medical Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Medical Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 266 clinicians in 34 Medicare specialties reassign their Medicare billing to Providence Medical Institute. 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. The largest specialties are Internal Medicine (66), Family Practice (50) and Nurse Practitioner (29). Of these, 13 practice at this address and 135 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Providence Medical Institute hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Providence Medical Institute was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.