SOUTHERN CALIFORNIA RIVIERA
NPI 1376640417
Internal Medicine - Pulmonary Disease in Laguna Hills, CA
About Southern California Riviera NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CALIFORNIA RIVIERA (NPI 1376640417) is a healthcare organization registered as a pulmonary disease in Laguna Hills, California and active in the NPI registry since September 2006. The organization lists Fady Kadifa, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Southern California Riviera 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 Southern California Riviera, 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.
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 Southern California Riviera's NPI number?
The NPI number for Southern California Riviera is 1376640417. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is Southern California Riviera located?
Southern California Riviera is located at 24411 Health Center Dr Ste 560, Laguna Hills, CA 92653. The listed phone number is (949) 452-0061.
What is Southern California Riviera's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Southern California Riviera enrolled in Medicare?
Yes. Southern California Riviera is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern California Riviera?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Southern California Riviera. 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.
When was this NPI record last updated?
The NPPES record for Southern California Riviera was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southern California Riviera · NPI 1376640417
Pulmonary Disease organization in Laguna Hills, California. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1376640417 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Fady Kadifa, PRESIDENT
## Practice location
- **Address:** 24411 HEALTH CENTER DR, STE 560, Laguna Hills, CA 92653-3651
- **Phone:** (949) 452-0061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pulmonary Disease) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2013
- **Other identifiers:** Medicare PIN W18348 (CA); Medicaid 00A508220 (CA); Other DC4641
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Source: [NPI Profile](https://npiprofile.com/npi/1376640417) · Data from the CMS NPPES public registry.