COVINA EAR NOSE & THROAT MEDICAL GROUP INC
NPI 1255479192
Specialist in Covina, CA

Active since February 02, 2007
202 W COLLEGE ST, COVINA, CA 91723(626) 966-2111(626) 967-6315 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2020, Jul 29, 2020 (2 updates tracked since 2020).

About Covina Ear Nose & Throat Medical Group Inc NPPES

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

COVINA EAR NOSE & THROAT MEDICAL GROUP INC (NPI 1255479192) is a healthcare organization registered as a specialist in Covina, California and active in the NPI registry since February 2007. The organization lists James Garner Williams, President, as its authorized official.

NPPES Registry Identity

NPI1255479192
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOVINA EAR NOSE & THROAT MEDICAL GROUP INC
Location Address202 W COLLEGE STCovina, CA 91723-1902
Mailing Address202 W College StCovina, CA 91723-1902 · (626) 966-2111 · Fax (626) 967-6315
Fax(626) 967-6315
Organization SubpartNo
Authorized OfficialJames Garner WilliamsPresident · (626) 966-2111
Enumeration DateFebruary 2, 2007
Last NPPES UpdateSeptember 27, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2020
✔ NPI 1255479192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A48653
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
202 W COLLEGE ST, Covina, CA 91723

Other Identifiers 1

Medicaid00A486530CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Covina Ear Nose & Throat Medical Group Inc 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 Covina Ear Nose & Throat Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1316924608
202 WEST COLLEGE ST
Covina, CA 91723
(626) 966-2111
✔ PECOS✔ Accepts Medicare0.3 mi

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 Covina Ear Nose & Throat Medical Group Inc's NPI number?

The NPI number for Covina Ear Nose & Throat Medical Group Inc is 1255479192. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Covina Ear Nose & Throat Medical Group Inc located?

Covina Ear Nose & Throat Medical Group Inc is located at 202 W College St, Covina, CA 91723. The listed phone number is (626) 966-2111.

What is Covina Ear Nose & Throat Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Covina Ear Nose & Throat Medical Group Inc enrolled in Medicare?

Yes. Covina Ear Nose & Throat Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Covina Ear Nose & Throat Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Covina Ear Nose & Throat Medical Group Inc. 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 Covina Ear Nose & Throat Medical Group Inc was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.