LOS REYES CLINICA MEDICA, INC.
NPI 1265740930
Family Medicine in South Gate, CA

Active since September 15, 2010CLIA 05D1066839 · Waiver
2715 SANTA ANA ST, SOUTH GATE, CA 90280(323) 583-0450(323) 583-0012 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Los Reyes Clinica Medica, Inc. NPPES

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

LOS REYES CLINICA MEDICA, INC. (NPI 1265740930) is a healthcare organization registered as a family medicine in South Gate, California and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Myra Gomez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265740930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOS REYES CLINICA MEDICA, INC.
Location Address2715 SANTA ANA STSouth Gate, CA 90280-2021
Mailing Address2715 Santa Ana StSouth Gate, CA 90280-2021 · (323) 583-0450 · Fax (323) 583-0012
Fax(323) 583-0012
Organization SubpartNo
Authorized OfficialMyra GomezAdministrator · (323) 583-0450
Enumeration DateSeptember 15, 2010
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1265740930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2715 SANTA ANA ST, South Gate, CA 90280

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

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 05D1066839

Los Reyes Clinica Medica Inc · South Gate, CA
Active · expires Apr 3, 2027
CLIA Number05D1066839
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorJawahar Sundaram MD
Laboratory Phone(323) 583-0450
Laboratory LocationLos Reyes Clinica Medica Inc2715 Santa Ana St, South Gate, CA 90280
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2715 SANTA ANA ST
SOUTH GATE, CA 90280
Specialist
2715 SANTA ANA ST
SOUTH GATE, CA 90280
Family Medicine
2715 SANTA ANA ST
SOUTH GATE, CA 90280
Physician Assistant (Medical)
2715 SANTA ANA ST
SOUTH GATE, CA 90280
Family Medicine
2715 SANTA ANA ST
SOUTH GATE, CA 90280

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 Los Reyes Clinica Medica, Inc.'s NPI number?

The NPI number for Los Reyes Clinica Medica, Inc. is 1265740930. It was assigned to this organization in the NPPES registry on September 15, 2010.

Where is Los Reyes Clinica Medica, Inc. located?

Los Reyes Clinica Medica, Inc. is located at 2715 Santa Ana St, South Gate, CA 90280. The listed phone number is (323) 583-0450.

What is Los Reyes Clinica Medica, Inc.'s specialty?

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

Does Los Reyes Clinica Medica, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1066839) is associated with this NPI, valid through April 3, 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 Los Reyes Clinica Medica, Inc. was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.