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PAYMAN R EMMANUEL MD INC
NPI 1437532553
Non-Pharmacy Dispensing Site in Culver City, CA

Active since July 07, 2015CLIA 05D2210083 · Waiver
10750 WASHINGTON BLVD, CULVER CITY, CA 90232(310) 253-9999(310) 253-9959 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Payman R Emmanuel Md Inc NPPES

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

PAYMAN R EMMANUEL MD INC (NPI 1437532553) is a healthcare organization registered as a non-pharmacy dispensing site in Culver City, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Payman Richard Emmanuel, Doctor, as its authorized official.

NPPES Registry Identity

NPI1437532553
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePAYMAN R EMMANUEL MD INC
Location Address10750 WASHINGTON BLVDCulver City, CA 90232-3314
Mailing Address10750 Washington BlvdCulver City, CA 90232-3314 · (310) 253-9999 · Fax (310) 253-9959
Phone(310) 253-9999
Fax(310) 253-9959
Organization SubpartNo
Authorized OfficialPayman Richard EmmanuelDoctor · (310) 413-1006
Enumeration DateJuly 7, 2015
✔ NPI 1437532553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · G085245
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
10750 WASHINGTON BLVD, Culver City, CA 90232
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payman R Emmanuel Md Inc 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 Payman R Emmanuel MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Payman Emmanuel, MD
Orthopedic Surgery
NPI 1831132422
10750 WASHINGTON BLVD
Culver City, CA 90232
(310) 253-9999
✔ PECOS✔ Accepts MedicareSame address

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 05D2210083

Payman R Emmanuel MD Inc · Culver City, CA
Active · expires Jan 18, 2027
CLIA Number05D2210083
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorEmmanuel Payman
Laboratory Phone(310) 253-9999
Laboratory LocationPayman R Emmanuel MD Inc10750 Washington Blvd, Culver City, CA 90232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Payman R Emmanuel MD Inc's NPI number?

The NPI number for Payman R Emmanuel MD Inc is 1437532553. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Payman R Emmanuel MD Inc located?

Payman R Emmanuel MD Inc is located at 10750 Washington Blvd, Culver City, CA 90232. The listed phone number is (310) 253-9999.

What is Payman R Emmanuel MD Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Is Payman R Emmanuel MD Inc enrolled in Medicare?

Yes. Payman R Emmanuel MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Payman R Emmanuel MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Payman R Emmanuel MD Inc. 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 Payman R Emmanuel MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2210083) is associated with this NPI, valid through January 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 Payman R Emmanuel MD Inc was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.