1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CARLY GENEVIEVE CHIWIWI
NPI 1275231979
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since February 21, 2023PECOS Enrolled
885 TIVERTON DR, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carly Genevieve Chiwiwi NPPES

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

CARLY GENEVIEVE CHIWIWI (NPI 1275231979) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275231979
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY GENEVIEVE CHIWIWI
Location Address885 TIVERTON DRLos Angeles, CA 90095-0001
Mailing Address885 Tiverton DrLos Angeles, CA 90095-0001 · (310) 825-6373
Phone(310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1275231979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
885 TIVERTON DR, Los Angeles, CA 90095
Open in Google Maps ↗

Other Names 1

Former Name (1)Carly Nicole Garcia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Genevieve Chiwiwi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carly Chiwiwi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Contra Costa County
333 mi
Adult Mental Health
2311 LOVERIDGE RD, 1ST AND 2ND FLOORS
Pittsburg, CA 94565
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1073691598 (925) 431-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

EMILY JEAN HANSMAN
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
JANAE LAPREE CHATMON
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
ISABELLA HONORE GIANATIEMPO
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
DR. MAMI HORIKAWA
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
TIANCHENG ZHAO
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
REBECCA JOYCE CANFIELD
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
JORDAN WU
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373
CARLOS MATURANA
Student in an Organized Health Care Education/Training Program
885 TIVERTON DR
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6373

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 Carly Chiwiwi's NPI number?

The NPI number for Carly Chiwiwi is 1275231979. It was assigned to this individual provider in the NPPES registry on February 21, 2023. The provider is also known as Carly Nicole Garcia.

Where is Carly Chiwiwi located?

Carly Chiwiwi practices at 885 Tiverton Dr, Los Angeles, CA 90095. The listed phone number is (310) 825-6373.

What is Carly Chiwiwi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly Chiwiwi enrolled in Medicare?

Yes. Carly Chiwiwi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Chiwiwi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Chiwiwi reassigns Medicare benefits to Contra Costa County (Pittsburg, CA). The 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 Carly Chiwiwi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Chiwiwi was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.