PENINSULA PRIMARY CARE
NPI 1417673328
Clinic/Center - Primary Care in Torrance, CA
About Peninsula Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA PRIMARY CARE (NPI 1417673328) is a healthcare organization registered as a primary care in Torrance, California and active in the NPI registry since October 2022. The organization lists Omer Deen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Peninsula Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Peninsula Primary Care's NPI number?
The NPI number for Peninsula Primary Care is 1417673328. It was assigned to this organization in the NPPES registry on October 13, 2022.
Where is Peninsula Primary Care located?
Peninsula Primary Care is located at 5003 Pacific Coast Hwy, Torrance, CA 90505. The listed phone number is (877) 782-0300.
What is Peninsula Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Peninsula Primary Care enrolled in Medicare?
Yes. Peninsula Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Peninsula Primary Care. 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 Nurse Practitioner (5), Hospitalist (1) and Internal Medicine (1). Of these, 4 practice at this address and 5 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 Peninsula Primary Care was last updated on October 13, 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.
# Peninsula Primary Care · NPI 1417673328
Primary Care organization in Torrance, California. Organization record, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1417673328 (Entity type: Organization)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Omer Deen, OWNER
## Practice location
- **Address:** 5003 PACIFIC COAST HWY, Torrance, CA 90505-5441
- **Phone:** (877) 782-0300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Hospitalist (1), Internal Medicine (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417673328) · Data from the CMS NPPES public registry.