LUZVIMINDA T MONTECILLO MD A PROFESSIONAL CORPORATION
NPI 1285711812
Internal Medicine in Inglewood, CA
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
Specialties & Licenses
Other Identifiers 1
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)
Luzviminda T Montecillo Md A Professional Corporation 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 Luzviminda T Montecillo MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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 Waiver 05D0999033
Luzviminda T Montecillo MD Inc · Inglewood, 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 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.
Is Luzviminda T Montecillo MD A Professional Corporation enrolled in Medicare?
Yes. Luzviminda T Montecillo MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Luzviminda T Montecillo MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Luzviminda T Montecillo MD A Professional Corporation. 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.
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.
# Luzviminda T Montecillo Md A Professional Corporation · NPI 1285711812
Internal Medicine organization in Inglewood, California. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1285711812 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Oscar Tagorda, OFFICE MANAGER
## Practice location
- **Address:** 645 AERICK STREET, SUITE 1, Inglewood, CA 90301-4882
- **Phone:** (310) 673-2764 · **Fax:** (310) 673-2403
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2020
- **Other identifiers:** Medicaid 00A522900 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285711812) · Data from the CMS NPPES public registry.