MEMORIAL ORTHOPAEDIC SURGICAL GROUP
NPI 1255414546
Specialist in Long Beach, CA
About Memorial Orthopaedic Surgical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL ORTHOPAEDIC SURGICAL GROUP (NPI 1255414546) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Lianne L Prum, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Orthopaedic Surgical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Memorial Orthopaedic Surgical Group, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (18)
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 05D1020073
Memorial Orthopaedic Surgicl Group · Long Beach, 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 Memorial Orthopaedic Surgical Group's NPI number?
The NPI number for Memorial Orthopaedic Surgical Group is 1255414546. It was assigned to this organization in the NPPES registry on October 23, 2006.
Where is Memorial Orthopaedic Surgical Group located?
Memorial Orthopaedic Surgical Group is located at 2760 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 424-6666.
What is Memorial Orthopaedic Surgical Group's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Memorial Orthopaedic Surgical Group enrolled in Medicare?
Yes. Memorial Orthopaedic Surgical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Orthopaedic Surgical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Memorial Orthopaedic Surgical Group. 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 Orthopedic Surgery (9), Physical Therapist in Private Practice (7) and Internal Medicine (1). Of these, 11 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Orthopaedic Surgical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1020073) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Memorial Orthopaedic Surgical Group accept?
Health plans from Avera Health Plans list Memorial Orthopaedic Surgical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Memorial Orthopaedic Surgical Group was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Memorial Orthopaedic Surgical Group · NPI 1255414546
Specialist organization in Long Beach, California. Organization record, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1255414546 (Entity type: Organization)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Lianne Prum, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 2760 ATLANTIC AVE, Long Beach, CA 90806-2755
- **Phone:** (562) 424-6666 · **Fax:** (562) 424-7122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (9), Physical Therapist in Private Practice (7), Internal Medicine (1); 11 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255414546) · Data from the CMS NPPES public registry.