LA VERNE FAMILY MEDICAL CENTER INC
NPI 1457469884
Family Medicine in La Verne, CA

Q: What is La Verne Family Medical Center Inc's NPI number?

The NPI number for La Verne Family Medical Center Inc is 1457469884. It was assigned to this organization in the NPPES registry on August 27, 2006.

Q: What is La Verne Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 27, 2006CLIA 05D1029294 · Waiver

2100 FOOTHILL BLVD, SUITE A, LA VERNE, CA 91750(909) 596-1941(909) 596-1943 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About La Verne Family Medical Center Inc NPPES

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

LA VERNE FAMILY MEDICAL CENTER INC (NPI 1457469884) is a healthcare organization registered as a family medicine in La Verne, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Tan Lin Wong, President, as its authorized official.

NPPES Registry Identity

NPI1457469884

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLA VERNE FAMILY MEDICAL CENTER INC

Location Address2100 FOOTHILL BLVD, SUITE ALa Verne, CA 91750-2905

Mailing Address2100 Foothill Blvd, Suite ALa Verne, CA 91750-2905 · (909) 596-1941 · Fax (909) 596-1943

Phone(909) 596-1941

Fax(909) 596-1943

Organization SubpartNo

Authorized OfficialTan Lin WongPresident · (909) 596-1941

Enumeration DateAugust 27, 2006

Last NPPES UpdateDecember 9, 2011

✔ NPI 1457469884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A50496

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2100 FOOTHILL BLVD, La Verne, CA 91750

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Other Identifiers 4

Medicare PINWA504960CA

Medicare UPINF74579CA

OtherW20443CA · Medicare Group Id

Medicare OSCAR/certificationW20443CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Verne Family Medical Center 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 La Verne Family Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tan Wong, MD

Internal Medicine

NPI 1790728749

2100 FOOTHILL BLVD STE A
La Verne, CA 91750

(909) 596-1941

✔ 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 05D1029294

La Verne Family Medical Center · La Verne, CA

Active · expires Aug 12, 2028

CLIA Number05D1029294

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2026

Certificate Expiration DateAugust 12, 2028

Laboratory DirectorTan L. Wong MD

Laboratory Phone(909) 596-1941

Laboratory LocationLa Verne Family Medical Center2100 Foothill Blvd Ste A, La Verne, CA 91750

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 La Verne Family Medical Center Inc's NPI number?

The NPI number for La Verne Family Medical Center Inc is 1457469884. It was assigned to this organization in the NPPES registry on August 27, 2006.

Where is La Verne Family Medical Center Inc located?

La Verne Family Medical Center Inc is located at 2100 Foothill Blvd Suite A, La Verne, CA 91750. The listed phone number is (909) 596-1941.

What is La Verne Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is La Verne Family Medical Center Inc enrolled in Medicare?

Yes. La Verne Family Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Verne Family Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to La Verne Family Medical Center 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 La Verne Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1029294) is associated with this NPI, valid through August 12, 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 La Verne Family Medical Center Inc was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.