S & S MEDICAL GROUP, INC.
NPI 1548458987
Clinic/Center - Primary Care in Los Angeles, CA

Active since October 10, 2007CLIA 05D0944908 · Waiver
648 E 21ST ST, LOS ANGELES, CA 90011(213) 749-7110(213) 749-2749 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About S & S Medical Group, Inc. NPPES

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

S & S MEDICAL GROUP, INC. (NPI 1548458987) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Steven Ghalili, Physician, as its authorized official.

NPPES Registry Identity

NPI1548458987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameS & S MEDICAL GROUP, INC.
Location Address648 E 21ST STLos Angeles, CA 90011-1146
Mailing Address648 E 21st StLos Angeles, CA 90011-1146 · (213) 749-7110 · Fax (213) 749-2749
Fax(213) 749-2749
Organization SubpartNo
Authorized OfficialSteven GhaliliPhysician · (213) 749-7110
Enumeration DateOctober 10, 2007
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1548458987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A66615
648 E 21ST ST, Los Angeles, CA 90011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S & S Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S & S Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1669546453
648 E 21ST ST
Los Angeles, CA 90011
(213) 749-7110
✔ PECOSSame 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 of Waiver 05D0944908

S & S Medical Group Inc · Los Angeles, CA
Active · expires Apr 21, 2028
CLIA Number05D0944908
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorSoleiman H. Ghalili
Laboratory Phone(213) 749-7110
Laboratory LocationS & S Medical Group Inc648 E 21st Street, Los Angeles, CA 90011
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 S & S Medical Group, Inc.'s NPI number?

The NPI number for S & S Medical Group, Inc. is 1548458987. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is S & S Medical Group, Inc. located?

S & S Medical Group, Inc. is located at 648 E 21st St, Los Angeles, CA 90011. The listed phone number is (213) 749-7110.

What is S & S Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is S & S Medical Group, Inc. enrolled in Medicare?

Yes. S & S Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S & S Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to S & S 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does S & S Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944908) is associated with this NPI, valid through April 21, 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 S & S Medical Group, Inc. was last updated on January 23, 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.