ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY
NPI 1396260063
Internal Medicine - Clinical & Laboratory Immunology in Long Beach, CA
About Ultimate Health Medical Services Llc., A California Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY (NPI 1396260063) is a healthcare organization registered as a clinical & laboratory immunology in Long Beach, California and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Bertha Alicia Rosas, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Ultimate Health Medical Services Llc., A California Liability Company 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 Ultimate Health Medical Services LLC., A California Liability Company, 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.
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 05D2148675
Ultimate Health Medical Services · Long Beach, 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 Ultimate Health Medical Services LLC., A California Liability Company's NPI number?
The NPI number for Ultimate Health Medical Services LLC., A California Liability Company is 1396260063. It was assigned to this organization in the NPPES registry on August 3, 2017.
Where is Ultimate Health Medical Services LLC., A California Liability Company located?
Ultimate Health Medical Services LLC., A California Liability Company is located at 2800 Pacific Ave Ste D, Long Beach, CA 90806. The listed phone number is (562) 337-8401.
What is Ultimate Health Medical Services LLC., A California Liability Company's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical & Laboratory Immunology, with taxonomy code 207RI0001X.
Is Ultimate Health Medical Services LLC., A California Liability Company enrolled in Medicare?
Yes. Ultimate Health Medical Services LLC., A California Liability Company is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ultimate Health Medical Services LLC., A California Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ultimate Health Medical Services LLC., A California Liability Company. 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.
Does Ultimate Health Medical Services LLC., A California Liability Company hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2148675) is associated with this NPI, valid through May 15, 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 Ultimate Health Medical Services LLC., A California Liability Company 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.
# Ultimate Health Medical Services Llc., A California Liability Company · NPI 1396260063
Clinical & Laboratory Immunology organization in Long Beach, California. Organization record, active in the CMS NPPES registry since August 3, 2017.
## Identity
- **NPI:** 1396260063 (Entity type: Organization)
- **Enumerated:** August 3, 2017
- **Primary specialty:** Internal Medicine - Clinical & Laboratory Immunology · taxonomy 207RI0001X
- **Organization subpart:** No
- **Authorized official:** Bertha Rosas, OFFICE MANAGER
## Practice location
- **Address:** 2800 PACIFIC AVE STE D, Long Beach, CA 90806-1468
- **Phone:** (562) 337-8401 · **Fax:** (562) 337-8404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 193200000X (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396260063) · Data from the CMS NPPES public registry.