LA JOLLA EMERGENCY ENTERPRISES, INC.
NPI 1447532650
Internal Medicine in Glendale, CA

Active since September 13, 2011
1101 N. PACIFIC AVE., SUITE 104, GLENDALE, CA 91202(818) 552-5000(818) 956-0990 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Jolla Emergency Enterprises, Inc. NPPES

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

LA JOLLA EMERGENCY ENTERPRISES, INC. (NPI 1447532650) is a healthcare organization registered as an internal medicine in Glendale, California and active in the NPI registry since September 2011. The organization lists Talal Abdullah Al-quraini, President/owner, as its authorized official.

NPPES Registry Identity

NPI1447532650
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLA JOLLA EMERGENCY ENTERPRISES, INC.
Location Address1101 N. PACIFIC AVE., SUITE 104Glendale, CA 91202-4313
Mailing Address6136 Cardeno DrLa Jolla, CA 92037-6924 · (858) 361-8004
Fax(818) 956-0990
Organization SubpartNo
Authorized OfficialTalal Abdullah Al-qurainiPresident/owner · (858) 361-8004
Enumeration DateSeptember 13, 2011
Last NPPES UpdateMarch 4, 2013
✔ NPI 1447532650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A61433
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1101 N. PACIFIC AVE., Glendale, CA 91202

Other Identifiers 1

Medicare PINBA802ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

La Jolla Emergency Enterprises, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120223000995Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Jolla Emergency Enterprises, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1316955446
751 MEDICAL CENTER CT
Chula Vista, CA 91911
(619) 482-5825
✔ PECOS✔ Accepts Medicare128 mi

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 La Jolla Emergency Enterprises, Inc.'s NPI number?

The NPI number for La Jolla Emergency Enterprises, Inc. is 1447532650. It was assigned to this organization in the NPPES registry on September 13, 2011.

Where is La Jolla Emergency Enterprises, Inc. located?

La Jolla Emergency Enterprises, Inc. is located at 1101 N. Pacific Ave. Suite 104, Glendale, CA 91202. The listed phone number is (818) 552-5000.

What is La Jolla Emergency Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is La Jolla Emergency Enterprises, Inc. enrolled in Medicare?

Yes. La Jolla Emergency Enterprises, Inc. is registered in the Medicare PECOS enrollment system.

When is La Jolla Emergency Enterprises, Inc.'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 December 31, 2026. 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 La Jolla Emergency Enterprises, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to La Jolla Emergency Enterprises, 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.

When was this NPI record last updated?

The NPPES record for La Jolla Emergency Enterprises, Inc. was last updated on March 4, 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.