SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION
NPI 1326564212
Clinic/Center - Multi-Specialty in North Hollywood, CA

Active since August 22, 2017
12134 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(818) 762-8702(818) 761-2583 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Superclinic Professionals Medical Corp A California Corporation NPPES

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

SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION (NPI 1326564212) is a healthcare organization registered as a multi-specialty in North Hollywood, California and active in the NPI registry since August 2017. The organization lists Mitchell Paul Rubin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326564212
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION
Location Address12134 VICTORY BLVDNorth Hollywood, CA 91606-3205
Mailing Address12134 Victory BlvdNorth Hollywood, CA 91606-3205 · (818) 762-8702 · Fax (818) 761-2583
Fax(818) 761-2583
Organization SubpartNo
Authorized OfficialMitchell Paul RubinAdministrator · (818) 762-8702
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1326564212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
12134 VICTORY BLVD, North Hollywood, CA 91606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Superclinic Professionals Medical Corp A California Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Superclinic Professionals Medical Corp A California Corporation, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 13

Internal Medicine3
Interventional Cardiology2
Interventional Radiology2
Anesthesiology1
Clinical Social Worker1
Family Practice1
General Practice1
General Surgery1
5 other specialties5

Clinicians, nearest first (17)

Internal Medicine
NPI 1508900887
4804 LAUREL CANYON BLVD SUITE 174
Valley Village, CA 91607
(760) 636-8326
✔ PECOS✔ Accepts Medicare2.0 mi
Interventional Cardiology
NPI 1679733646
4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403
(818) 528-1260
✔ PECOS✔ Accepts Medicare3.4 mi
Psychiatry
NPI 1023101888
9449 SAN FERNANDO ROAD
Sun Valley, CA 91352
(818) 421-4871
✔ PECOS3.8 mi
Interventional Cardiology
NPI 1316156797
1511 W GLENOAKS BLVD
Glendale, CA 91201
(818) 548-2511
✔ PECOS✔ Accepts Medicare6.5 mi
Internal Medicine
NPI 1457509259
18055 VENTURA BLVD
Encino, CA 91316
(818) 881-8117
✔ PECOS✔ Accepts Medicare7.5 mi
Clinical Social Worker
NPI 1437366093
1056 N MACLAY AVE STE A
San Fernando, CA 91340
(818) 365-7774
✔ PECOS✔ Accepts Medicare7.6 mi
Pain Management
NPI 1598262131
445 W BROADWAY
Glendale, CA 91204
(323) 243-2052
✔ PECOS8.2 mi
Internal Medicine
NPI 1417951963
240 N VIRGIL AVE STE 7
Los Angeles, CA 90004
(213) 389-9100
✔ PECOS10 mi
General Surgery
NPI 1427280510
1225 WILSHIRE BLVD
Los Angeles, CA 90017
(310) 809-4100
✔ PECOS12 mi
Urology
NPI 1548254089
1127 WILSHIRE BLVD SUITE 805
Los Angeles, CA 90017
(213) 977-1176
✔ PECOS✔ Accepts Medicare12 mi
Vascular Surgery
NPI 1386960854
1417 W BEVERLY BLVD STE 106
Montebello, CA 90640
(310) 242-0919
✔ PECOS✔ Accepts Medicare20 mi
Interventional Radiology
NPI 1770857427
1417 W BEVERLY BLVD STE 106
Montebello, CA 90640
(626) 657-8002
✔ PECOS✔ Accepts Medicare20 mi
Interventional Radiology
NPI 1689038424
28049 SMYTH DR
Valencia, CA 91355
(661) 705-9706
✔ PECOS✔ Accepts Medicare20 mi
Obstetrics/Gynecology
NPI 1457414658
2840 E LOS ANGELES AVE
Simi Valley, CA 98065
(805) 584-1633
✔ PECOS✔ Accepts Medicare20 mi
General Practice
NPI 1568414886
110 W OCEAN BLVD SUITE 526
Long Beach, CA 90802
(800) 963-9672
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1588789218
1125 N MAGNOLIA AVE STE 115
Anaheim, CA 92801
(323) 921-6309
✔ PECOS✔ Accepts Medicare34 mi
Anesthesiology
NPI 1992771604
120 W COLE BLVD STE B
Calexico, CA 92231
(760) 890-0190
✔ PECOS✔ Accepts Medicare196 mi

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

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 Superclinic Professionals Medical Corp A California Corporation's NPI number?

The NPI number for Superclinic Professionals Medical Corp A California Corporation is 1326564212. It was assigned to this organization in the NPPES registry on August 22, 2017.

Where is Superclinic Professionals Medical Corp A California Corporation located?

Superclinic Professionals Medical Corp A California Corporation is located at 12134 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 762-8702.

What is Superclinic Professionals Medical Corp A California Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Superclinic Professionals Medical Corp A California Corporation enrolled in Medicare?

Yes. Superclinic Professionals Medical Corp A California Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Superclinic Professionals Medical Corp A California Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 13 Medicare specialties reassign their Medicare billing to Superclinic Professionals Medical Corp A California 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. The largest specialties are Internal Medicine (3), Interventional Cardiology (2) and Interventional Radiology (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Superclinic Professionals Medical Corp A California Corporation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.