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LUZVIMINDA T MONTECILLO MD A PROFESSIONAL CORPORATION
NPI 1285711812
Internal Medicine in Inglewood, CA

Active since November 01, 2006CLIA 05D0999033 · Waiver
645 AERICK STREET, SUITE 1, INGLEWOOD, CA 90301(310) 673-2764(310) 673-2403 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2020, Jan 11, 2018 (2 updates tracked since 2018).

About Luzviminda T Montecillo Md A Professional Corporation NPPES

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

LUZVIMINDA T MONTECILLO MD A PROFESSIONAL CORPORATION (NPI 1285711812) is a healthcare organization registered as an internal medicine in Inglewood, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Oscar Tagorda, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285711812
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUZVIMINDA T MONTECILLO MD A PROFESSIONAL CORPORATION
Location Address645 AERICK STREET, SUITE 1Inglewood, CA 90301-4882
Mailing Address645 Aerick St Ste 1Inglewood, CA 90301-4882 · (310) 673-2764 · Fax (310) 673-2403
Phone(310) 673-2764
Fax(310) 673-2403
Organization SubpartNo
Authorized OfficialOscar TagordaOffice Manager · (310) 673-2764
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 18, 20202 updates tracked since enumeration
NPPES CertifiedMarch 18, 2020
✔ NPI 1285711812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A52290
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
645 AERICK STREET, Inglewood, CA 90301
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Other Identifiers 1

Medicaid00A522900CA

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 05D0999033

Luzviminda T Montecillo MD Inc · Inglewood, CA
Active · expires May 1, 2028
CLIA Number05D0999033
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorLuzviminda T. Montecillo MD
Laboratory Phone(310) 673-2764
Laboratory LocationLuzviminda T Montecillo MD Inc645 East Aerick Street, Suite 1, Inglewood, CA 90301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Luzviminda T Montecillo MD A Professional Corporation's NPI number?

The NPI number for Luzviminda T Montecillo MD A Professional Corporation is 1285711812. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Luzviminda T Montecillo MD A Professional Corporation located?

Luzviminda T Montecillo MD A Professional Corporation is located at 645 Aerick Street Suite 1, Inglewood, CA 90301. The listed phone number is (310) 673-2764.

What is Luzviminda T Montecillo MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Luzviminda T Montecillo MD A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999033) is associated with this NPI, valid through May 1, 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 Luzviminda T Montecillo MD A Professional Corporation was last updated on March 18, 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.