WILSHIRE CARDIOLOGY GROUP, INC.
NPI 1366759904
Internal Medicine - Cardiovascular Disease in Los Angeles, CA
About Wilshire Cardiology Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILSHIRE CARDIOLOGY GROUP, INC. (NPI 1366759904) is a healthcare organization registered as a cardiovascular disease in Los Angeles, California and active in the NPI registry since September 2010. The organization lists Steve Seekook Park, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Wilshire Cardiology Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Wilshire Cardiology Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 05D2086133
Wilshire Cardiology Group · Los Angeles, 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 Wilshire Cardiology Group, A Professional Corporation's NPI number?
The NPI number for Wilshire Cardiology Group, A Professional Corporation is 1366759904. It was assigned to this organization in the NPPES registry on September 2, 2010. The provider is doing business as Wilshire Cardiology Group, Inc..
Where is Wilshire Cardiology Group, A Professional Corporation located?
Wilshire Cardiology Group, A Professional Corporation is located at 500 S Virgil Ave Ste. 200, Los Angeles, CA 90020. The listed phone number is (213) 387-8000.
What is Wilshire Cardiology Group, A Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Wilshire Cardiology Group, A Professional Corporation enrolled in Medicare?
Yes. Wilshire Cardiology Group, A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Wilshire Cardiology Group, A Professional Corporation'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 February 28, 2027. 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 Wilshire Cardiology Group, A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Wilshire Cardiology Group, A Professional Corporation, in Cardiovascular Disease (Cardiology), Interventional Radiology, Nuclear Medicine and Vascular Surgery. 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, 2 practice at this address and 3 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 Wilshire Cardiology Group, A Professional Corporation was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Wilshire Cardiology Group, Inc. · NPI 1366759904
Cardiovascular Disease organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 2, 2010.
## Identity
- **NPI:** 1366759904 (Entity type: Organization)
- **Enumerated:** September 2, 2010
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Legal business name:** Wilshire Cardiology Group, A Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Steve Seekook Park, OWNER
## Practice location
- **Address:** 500 S VIRGIL AVE, STE. 200, Los Angeles, CA 90020-1446
- **Phone:** (213) 387-8000 · **Fax:** (213) 769-5004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (2), Cardiovascular Disease (Cardiology) (1), Interventional Radiology (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
- **Other identifiers:** Medicaid 00G714481 (CA); Other 2973727 (CA); Other 060061949 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366759904) · Data from the CMS NPPES public registry.