FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC
NPI 1316996903
Internal Medicine in Carson, CA

Q: What is Family Practice Associates Of Carson Medical Group Inc's specialty?

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

Active since May 09, 2006CLIA 05D0942998 · Waiver

824 E CARSON ST, SUITE 201, CARSON, CA 90745(310) 233-3228(310) 233-3229 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Family Practice Associates Of Carson Medical Group Inc NPPES

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

FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC (NPI 1316996903) is a healthcare organization registered as an internal medicine in Carson, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Reza Ghanian, President, as its authorized official.

NPPES Registry Identity

NPI1316996903

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameFAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC

Location Address824 E CARSON ST, SUITE 201Carson, CA 90745-2262

Mailing Address824 E Carson StCarson, CA 90745-2262 · (310) 233-3228 · Fax (310) 233-3229

Phone(310) 233-3228

Fax(310) 233-3229

Organization SubpartNo

Authorized OfficialReza GhanianPresident · (310) 233-3228

Enumeration DateMay 9, 2006

Last NPPES UpdateApril 24, 2014

✔ NPI 1316996903 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 · G74550

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.

824 E CARSON ST, Carson, CA 90745

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Other Identifiers 2

Medicare UPINF52172CA

Medicare PINW19860CA

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Practice Associates Of Carson Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20060719000343Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Practice Associates Of Carson Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Reza Ghanian, MD

Internal Medicine

NPI 1639151350

824 E CARSON ST SUITE 201
Carson, CA 90745

(310) 233-3228

✔ PECOS✔ Accepts MedicareSame address

Unakem Kazeem

Nurse Practitioner

NPI 1043612120

2600 REDONDO AVE
Long Beach, CA 90806

(562) 988-7000

✔ PECOS✔ Accepts Medicare6.5 mi

Marie Basa, FNP - BC

Nurse Practitioner

NPI 1356739767

15975 HARBOR BLVD
Fountain Valley, CA 92708

(714) 546-6575

✔ PECOS✔ Accepts Medicare21 mi

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 05D0942998

Family Practice Associates Of Carson · Carson, CA

Active · expires Mar 18, 2028

CLIA Number05D0942998

Laboratory TypePhysician Office

Certificate Effective DateMarch 19, 2026

Certificate Expiration DateMarch 18, 2028

Laboratory DirectorReza Ghanian

Laboratory Phone(310) 233-3228

Laboratory LocationFamily Practice Associates Of Carson824 E Carson Street Suite 201, Carson, CA 90745

CLIA data matches this NPI record on: Address 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 Family Practice Associates Of Carson Medical Group Inc's NPI number?

The NPI number for Family Practice Associates Of Carson Medical Group Inc is 1316996903. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Family Practice Associates Of Carson Medical Group Inc located?

Family Practice Associates Of Carson Medical Group Inc is located at 824 E Carson St Suite 201, Carson, CA 90745. The listed phone number is (310) 233-3228.

What is Family Practice Associates Of Carson Medical Group Inc's specialty?

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

Is Family Practice Associates Of Carson Medical Group Inc enrolled in Medicare?

Yes. Family Practice Associates Of Carson Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Family Practice Associates Of Carson Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Practice Associates Of Carson Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Practice Associates Of Carson Medical Group Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Practice Associates Of Carson Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0942998) is associated with this NPI, valid through March 18, 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 Family Practice Associates Of Carson Medical Group Inc was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.