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ATALLA MEDICAL GROUP
NPI 1356963417
Family Medicine in San Fernando, CA

Active since May 12, 2020CLIA 05D2214178 · Waiver
557 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 639-0210 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2026, Nov 24, 2020, Sep 1, 2020 and 2 more (5 updates tracked since 2020).

About Atalla Medical Group NPPES

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

ATALLA MEDICAL GROUP (NPI 1356963417) is a healthcare organization registered as a family medicine in San Fernando, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through February 18, 2027, maintains a secondary practice location in Northridge, and lists Martha I Atalla, Md, as its authorized official.

NPPES Registry Identity

NPI1356963417
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATALLA MEDICAL GROUP
Location Address557 N MACLAY AVESan Fernando, CA 91340-2424
Mailing Address9839 Belmar AveNorthridge, CA 91324-1655 · (559) 804-3130
Phone(818) 639-0210
Organization SubpartNo
Authorized OfficialMartha I AtallaMd · (630) 935-7306
Enumeration DateMay 12, 2020
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1356963417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X
557 N MACLAY AVE, San Fernando, CA 91340
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Secondary Practice Location 1

Location 19839 Belmar AveNorthridge, CA 91324-1655 · Phone (630) 935-7306

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2214178

Atalla Medical Group · San Fernando, CA
Active · expires Feb 18, 2027
CLIA Number05D2214178
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorMarta Atalla
Laboratory Phone(818) 639-0209
Laboratory LocationAtalla Medical Group557 N Maclay Ave, San Fernando, CA 91340
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SHALINI BHAKTA DESAI PA
Physician Assistant
557 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (480) 219-6000
DR. MARTA IMA ATALLA M.D.
Specialist
557 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (818) 639-0210
ATALLA URGENT CARE CORP
Clinic/Center (Urgent Care)
557 N MACLAY AVE
SAN FERNANDO, CA 91340
Los Angeles County (409) 916-7647

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 Atalla Medical Group's NPI number?

The NPI number for Atalla Medical Group is 1356963417. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Atalla Medical Group located?

Atalla Medical Group is located at 557 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 639-0210.

What is Atalla Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Atalla Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2214178) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atalla Medical Group was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.