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ATLANTIC UROLOGY MEDICAL GROUP INC
NPI 1467649764
Specialist in Long Beach, CA

Active since October 01, 2007
701 E 28TH ST, SUITE 319, LONG BEACH, CA 90806(562) 595-5977(562) 490-0509 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Urology Medical Group Inc NPPES

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

ATLANTIC UROLOGY MEDICAL GROUP INC (NPI 1467649764) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since October 2007. The organization lists Wendy Solis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467649764
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameATLANTIC UROLOGY MEDICAL GROUP INC
Location Address701 E 28TH ST, SUITE 319Long Beach, CA 90806-2759
Mailing Address701 E 28th St, Suite 319Long Beach, CA 90806-2759 · (562) 595-5977 · Fax (562) 490-0509
Phone(562) 595-5977
Fax(562) 490-0509
Organization SubpartNo
Authorized OfficialWendy SolisOffice Manager · (562) 595-5977
Enumeration DateOctober 1, 2007
Last NPPES UpdateAugust 27, 2019
✔ NPI 1467649764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A32052
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
701 E 28TH ST, Long Beach, CA 90806
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Other Identifiers 2

OtherW9927CA · Medicare Id
Medicaid2405716CA

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)

Atlantic Urology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20110106001113Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
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 Atlantic Urology Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Barton Wachs, M.D.
Urology
NPI 1366461832
701 E 28TH ST SUITE 319
Long Beach, CA 90806
(562) 595-5977
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0554349

Atlantic Urology Medical Group · Long Beach, CA
Expired · Oct 20, 2026
CLIA Number05D0554349
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorBarton H. Wachs MD
Laboratory Phone(562) 595-5977
Laboratory LocationAtlantic Urology Medical Group701 East 28th Street #319, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Atlantic Urology Medical Group Inc's NPI number?

The NPI number for Atlantic Urology Medical Group Inc is 1467649764. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Atlantic Urology Medical Group Inc located?

Atlantic Urology Medical Group Inc is located at 701 E 28th St Suite 319, Long Beach, CA 90806. The listed phone number is (562) 595-5977.

What is Atlantic Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Atlantic Urology Medical Group Inc enrolled in Medicare?

Yes. Atlantic Urology Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Atlantic Urology Medical Group 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 March 31, 2027. 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 Atlantic Urology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Atlantic Urology Medical Group 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 Atlantic Urology Medical Group Inc was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.