ST. LUKE MEDICAL CLINIC
NPI 1487832655
Clinic/Center - Multi-Specialty in Los Angeles, CA
About St. Luke Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. LUKE MEDICAL CLINIC (NPI 1487832655) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Nabil F Khalil, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Luke Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to St. Luke Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 05D1069575
Socal Healthnet Inc Dba St Luke Medical Clinic · Los Angeles, 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 Socal Healthnet Inc's NPI number?
The NPI number for Socal Healthnet Inc is 1487832655. It was assigned to this organization in the NPPES registry on February 9, 2008. The provider is doing business as St. Luke Medical Clinic.
Where is Socal Healthnet Inc located?
Socal Healthnet Inc is located at 5912 Santa Monica Blvd, Los Angeles, CA 90038. The listed phone number is (323) 461-3888.
What is Socal Healthnet Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Socal Healthnet Inc enrolled in Medicare?
Yes. Socal Healthnet Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Socal Healthnet Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Socal Healthnet Inc, in Family Practice, General Practice, Internal Medicine, Nuclear Medicine and Obstetrics/Gynecology. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Socal Healthnet Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1069575) is associated with this NPI, valid through June 7, 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 Socal Healthnet Inc was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# St. Luke Medical Clinic · NPI 1487832655
Multi-Specialty organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since February 9, 2008.
## Identity
- **NPI:** 1487832655 (Entity type: Organization)
- **Enumerated:** February 9, 2008
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Socal Healthnet Inc
- **Organization subpart:** No
- **Authorized official:** Nabil Khalil, MEDICAL DIRECTOR
## Practice location
- **Address:** 5912 SANTA MONICA BLVD, Los Angeles, CA 90038-2043
- **Phone:** (323) 461-3888 · **Fax:** (323) 461-3250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (2), Family Practice (1), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487832655) · Data from the CMS NPPES public registry.