SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC
NPI 1235751405
Physician Assistant in Inglewood, CA
About Southern California Physician Assistant Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC (NPI 1235751405) is a healthcare organization registered as a physician assistant in Inglewood, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 4, 2027, maintains a secondary practice location in Los Angeles, and lists Joseph David Silverstein, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Southern California Physician Assistant Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern California Physician Assistant Medical Group PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 05D2289067
Southern California Physician Asst Med Group · 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 Southern California Physician Assistant Medical Group PC's NPI number?
The NPI number for Southern California Physician Assistant Medical Group PC is 1235751405. It was assigned to this organization in the NPPES registry on May 11, 2020.
Where is Southern California Physician Assistant Medical Group PC located?
Southern California Physician Assistant Medical Group PC is located at 645 Aerick St Ste 3, Inglewood, CA 90301. The listed phone number is (310) 431-4926.
What is Southern California Physician Assistant Medical Group PC's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Southern California Physician Assistant Medical Group PC enrolled in Medicare?
Yes. Southern California Physician Assistant Medical Group PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern California Physician Assistant Medical Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern California Physician Assistant Medical Group PC, in Nurse Practitioner and Orthopedic Surgery. 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 Southern California Physician Assistant Medical Group PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2289067) is associated with this NPI, valid through September 4, 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 Southern California Physician Assistant Medical Group PC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southern California Physician Assistant Medical Group Pc · NPI 1235751405
Physician Assistant organization in Inglewood, California. Organization record, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1235751405 (Entity type: Organization)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Organization subpart:** No
- **Authorized official:** Joseph Silverstein, PRESIDENT
## Practice location
- **Address:** 645 AERICK ST STE 3, Inglewood, CA 90301-4884
- **Phone:** (310) 431-4926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Orthopedic Surgery (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235751405) · Data from the CMS NPPES public registry.