LOS ANGELES UROLOGY MEDICAL GROUP INC
NPI 1538212170
Urology in Los Angeles, CA

Active since January 18, 2007CLIA 05D0975500 · Microscopy
1701 E CESAR E CHAVEZ AVE, SUITE 500, LOS ANGELES, CA 90033(323) 261-0108(323) 224-6206 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Los Angeles Urology Medical Group Inc NPPES

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

LOS ANGELES UROLOGY MEDICAL GROUP INC (NPI 1538212170) is a healthcare organization registered as an urology in Los Angeles, California and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through July 9, 2028 and lists Miguel Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1538212170
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLOS ANGELES UROLOGY MEDICAL GROUP INC
Location Address1701 E CESAR E CHAVEZ AVE, SUITE 500Los Angeles, CA 90033-2464
Mailing Address1701 E Cesar E Chavez Ave, Suite 500Los Angeles, CA 90033-2464 · (323) 261-0108 · Fax (323) 224-6206
Fax(323) 224-6206
Organization SubpartNo
Authorized OfficialMiguel MartinezPresident · (323) 261-0108
Enumeration DateJanuary 18, 2007
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1538212170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G54840
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1701 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033

Other Identifiers 1

MedicaidGR0063220CA

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)

Los Angeles Urology Medical Group Inc 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 Los Angeles Urology Medical Group 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)

Urology
NPI 1225053291
1701 E CESAR E CHAVEZ AVE SUITE 500
Los Angeles, CA 90033
(323) 261-0108
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1417972480
1701 E CESAR E CHAVEZ AVE SUITE 500
Los Angeles, CA 90033
(323) 261-0108
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0975500

Los Angeles Urology Medical Group · Los Angeles, CA
Active · expires Jul 9, 2028
CLIA Number05D0975500
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorMiguel A. Martinez MD
Laboratory Phone(323) 261-0108
Laboratory LocationLos Angeles Urology Medical Group1701 Cesar Chavez Avenue Suite 500, Los Angeles, CA 90033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Los Angeles Urology Medical Group Inc's NPI number?

The NPI number for Los Angeles Urology Medical Group Inc is 1538212170. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Los Angeles Urology Medical Group Inc located?

Los Angeles Urology Medical Group Inc is located at 1701 E Cesar E Chavez Ave Suite 500, Los Angeles, CA 90033. The listed phone number is (323) 261-0108.

What is Los Angeles Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Los Angeles Urology Medical Group Inc enrolled in Medicare?

Yes. Los Angeles Urology Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Angeles Urology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Urology, reassign their Medicare billing to Los Angeles Urology Medical Group 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 Los Angeles Urology Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0975500) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Angeles Urology Medical Group Inc was last updated on April 26, 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.