PRESTIGE MEDICAL ASSOCIATES, INC.
NPI 1467758235
Internal Medicine in Newbury Park, CA
About Prestige Medical Associates, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESTIGE MEDICAL ASSOCIATES, INC. (NPI 1467758235) is a healthcare organization registered as an internal medicine in Newbury Park, California and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Treise Chesnut, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Prestige Medical Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Prestige Medical Associates, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Newbury Park, CA 91320
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 05D2033942
Prestige Medical Associates Inc · Newbury Park, CAFrequently 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 Prestige Medical Associates, Inc.'s NPI number?
The NPI number for Prestige Medical Associates, Inc. is 1467758235. It was assigned to this organization in the NPPES registry on January 26, 2011.
Where is Prestige Medical Associates, Inc. located?
Prestige Medical Associates, Inc. is located at 1000 Newbury Rd Ste. 130, Newbury Park, CA 91320. The listed phone number is (805) 214-3122.
What is Prestige Medical Associates, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prestige Medical Associates, Inc. enrolled in Medicare?
Yes. Prestige Medical Associates, Inc. is registered in the Medicare PECOS enrollment system.
When is Prestige Medical Associates, 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 November 30, 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 Prestige Medical Associates, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Prestige Medical Associates, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prestige Medical Associates, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2033942) is associated with this NPI, valid through December 12, 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 Prestige Medical Associates, Inc. was last updated on August 3, 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.
# Prestige Medical Associates, Inc. · NPI 1467758235
Internal Medicine organization in Newbury Park, California. Organization record, active in the CMS NPPES registry since January 26, 2011.
## Identity
- **NPI:** 1467758235 (Entity type: Organization)
- **Enumerated:** January 26, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Treise Chesnut, PRESIDENT
## Practice location
- **Address:** 1000 NEWBURY RD, STE. 130, Newbury Park, CA 91320-6435
- **Phone:** (805) 214-3122 · **Fax:** (805) 214-3129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467758235) · Data from the CMS NPPES public registry.