INLAND PSYCHIATRIC MEDICAL GROUP, INC
NPI 1265208086
Psychiatry & Neurology - Psychiatry in Garden Grove, CA
About Inland Psychiatric Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INLAND PSYCHIATRIC MEDICAL GROUP, INC (NPI 1265208086) is a healthcare organization registered as a psychiatry in Garden Grove, California and active in the NPI registry since December 2023. The organization holds an CLIA Accreditation certificate valid through July 15, 2028 and lists Amber Gutierrez, Provider Relations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Inland Psychiatric Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
193Medicare enrollment records show 193 clinicians reassign Medicare billing to Inland Psychiatric Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 193Source: 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 Accreditation 05D2347342
Inland Psychiatric Medical Group Inc · San Bernardino, 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 Inland Psychiatric Medical Group, Inc's NPI number?
The NPI number for Inland Psychiatric Medical Group, Inc is 1265208086. It was assigned to this organization in the NPPES registry on December 1, 2023.
Where is Inland Psychiatric Medical Group, Inc located?
Inland Psychiatric Medical Group, Inc is located at 12377 Lewis St Ste 105, Garden Grove, CA 92840. The listed phone number is (909) 838-0038.
What is Inland Psychiatric Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Inland Psychiatric Medical Group, Inc enrolled in Medicare?
Yes. Inland Psychiatric Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Inland Psychiatric Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 193 clinicians in 5 Medicare specialties reassign their Medicare billing to Inland Psychiatric 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. The largest specialties are Nurse Practitioner (108), Psychiatry (42) and Clinical Social Worker (25). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Inland Psychiatric Medical Group, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 05D2347342) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Inland Psychiatric Medical Group, Inc was last updated on December 1, 2023. 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.
# Inland Psychiatric Medical Group, Inc · NPI 1265208086
Psychiatry organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since December 1, 2023.
## Identity
- **NPI:** 1265208086 (Entity type: Organization)
- **Enumerated:** December 1, 2023
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Amber Gutierrez, PROVIDER RELATIONS
## Practice location
- **Address:** 12377 LEWIS ST STE 105, Garden Grove, CA 92840-4691
- **Phone:** (909) 838-0038 · **Fax:** (909) 748-5446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 193 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (108), Psychiatry (42), Clinical Social Worker (25); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1265208086/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265208086) · Data from the CMS NPPES public registry.