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CARLO MEDINA MEDICAL CORPORATION
NPI 1477273340
Internal Medicine in Marina Del Rey, CA

Active since August 31, 2022
4560 ADMIRALTY WAY STE 201, MARINA DEL REY, CA 90292(310) 823-3443(310) 305-7470 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2024, Aug 31, 2022 (2 updates tracked since 2022).

About Carlo Medina Medical Corporation NPPES

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

CARLO MEDINA MEDICAL CORPORATION (NPI 1477273340) is a healthcare organization registered as an internal medicine in Marina Del Rey, California and active in the NPI registry since August 2022. The organization maintains a secondary practice location in West Hollywood and lists Carlo Medina, President, as its authorized official.

NPPES Registry Identity

NPI1477273340
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCARLO MEDINA MEDICAL CORPORATION
Location Address4560 ADMIRALTY WAY STE 201Marina Del Rey, CA 90292-5425
Mailing Address1626 Montana Ave # 631Santa Monica, CA 90403-1808 · (310) 893-0827
Phone(310) 823-3443
Fax(310) 305-7470
Organization SubpartNo
Authorized OfficialCarlo MedinaPresident · (917) 312-6385
Enumeration DateAugust 31, 2022
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1477273340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4560 ADMIRALTY WAY STE 201, Marina Del Rey, CA 90292
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Secondary Practice Location 1

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-3277

Other Identifiers 1

OtherH76953CA · Upon

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlo Medina Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carlo Medina Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Carlo Medina, M.D.
Hospitalist
NPI 1093786444
4560 ADMIRALTY WAY STE 201
Marina Del Rey, CA 90292
(310) 823-3443
✔ PECOS✔ Accepts MedicareSame address
Shemi Jalil, M.D.
Internal Medicine
NPI 1619235074
1200 N STATE ST CT-A7D
Los Angeles, CA 90033
(323) 226-7556
✔ PECOS✔ Accepts Medicare14 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 Carlo Medina Medical Corporation's NPI number?

The NPI number for Carlo Medina Medical Corporation is 1477273340. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Carlo Medina Medical Corporation located?

Carlo Medina Medical Corporation is located at 4560 Admiralty Way Ste 201, Marina Del Rey, CA 90292. The listed phone number is (310) 823-3443.

What is Carlo Medina Medical Corporation's specialty?

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

Is Carlo Medina Medical Corporation enrolled in Medicare?

Yes. Carlo Medina Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carlo Medina Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carlo Medina Medical Corporation, in Hospitalist and Internal Medicine. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carlo Medina Medical Corporation was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.