LIPOV MEDICAL GROUP OF CA PC
NPI 1497635221
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
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
Specialties & Licenses 2
Group Practice 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)
Lipov Medical Group Of Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lipov Medical Group Of Ca PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 05D2314991
Lipov Medical Group Of Ca, PC · 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 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.
Is Lipov Medical Group Of Ca PC enrolled in Medicare?
Yes. Lipov Medical Group Of Ca PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lipov Medical Group Of Ca PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Lipov Medical Group Of Ca PC. 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. The largest specialties are Nurse Practitioner (6), Psychiatry (2) and Emergency Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 13 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.
# Lipov Medical Group Of Ca Pc · NPI 1497635221
Psychiatry organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 3, 2025.
## Identity
- **NPI:** 1497635221 (Entity type: Organization)
- **Enumerated:** September 3, 2025
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Eugene Lipov, OWNER
## Practice location
- **Address:** 12381 WILSHIRE BLVD STE 205, Los Angeles, CA 90025-1063
- **Phone:** (855) 519-2122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (2), Emergency Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497635221) · Data from the CMS NPPES public registry.