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LIPOV MEDICAL GROUP OF CA PC
NPI 1497635221
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since September 03, 2025CLIA 05D2314991 · Waiver
12381 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90025(855) 519-2122 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lipov Medical Group Of Ca Pc NPPES

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

LIPOV MEDICAL GROUP OF CA PC (NPI 1497635221) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Eugene Lipov, Owner, as its authorized official.

NPPES Registry Identity

NPI1497635221
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIPOV MEDICAL GROUP OF CA PC
Location Address12381 WILSHIRE BLVD STE 205Los Angeles, CA 90025-1063
Mailing Address1 E Oakhill Dr Ste 100Westmont, IL 60559-5540 · (855) 519-2122
Phone(855) 519-2122
Organization SubpartNo
Authorized OfficialEugene LipovOwner · (312) 618-0829
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1497635221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedAnesthesiologyTaxonomy 207L00000X
12381 WILSHIRE BLVD STE 205, Los Angeles, CA 90025
Open in Google Maps ↗

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

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 05D2314991

Lipov Medical Group Of Ca, PC · Los Angeles, CA
Active · expires Dec 2, 2026
CLIA Number05D2314991
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorNima Fahimian
Laboratory Phone(833) 705-2968
Laboratory LocationLipov Medical Group Of Ca, PC12381 Wilshire Blvd Ste 205, Los Angeles, CA 90025
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIMA FAHIMIAN MD INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (833) 867-2329
MRS. SHERI ANN ROSE-MCCASHIN LMFT
Marriage & Family Therapist
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (310) 490-2130
BESPOKE TREATMENT LLC
Clinic/Center (Adult Mental Health)
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (833) 867-2329
NIMA A FAHIMIAN M.D.
Psychiatry & Neurology (Addiction Medicine)
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (310) 990-6507
PATRICK WESTER APRN
Nurse Practitioner (Psychiatric/Mental Health)
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (424) 443-7906
LOGAN SOLBERG
Marriage & Family Therapist
12381 WILSHIRE BLVD STE 205
LOS ANGELES, CA 90025
Los Angeles County (617) 765-9404

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 Lipov Medical Group Of Ca PC's NPI number?

The NPI number for Lipov Medical Group Of Ca PC is 1497635221. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Lipov Medical Group Of Ca PC located?

Lipov Medical Group Of Ca PC is located at 12381 Wilshire Blvd Ste 205, Los Angeles, CA 90025. The listed phone number is (855) 519-2122.

What is Lipov Medical Group Of Ca PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Lipov Medical Group Of Ca PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314991) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lipov Medical Group Of Ca PC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.