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ARDMORE MEDICAL GROUP
NPI 1578624672
General Practice in El Monte, CA

Active since December 12, 2006
3564 SANTA ANITA AVE STE A, EL MONTE, CA 91731(626) 350-8101(626) 442-0196 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Ardmore Medical Group NPPES

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

ARDMORE MEDICAL GROUP (NPI 1578624672), doing business as Clinica Humanitaria, is a healthcare organization registered as a general practice in El Monte, California and active in the NPI registry since December 2006. The organization lists Alan K Kims, President, as its authorized official.

NPPES Registry Identity

NPI1578624672
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameARDMORE MEDICAL GROUP
Location Address3564 SANTA ANITA AVE STE AEl Monte, CA 91731-2458
Mailing Address5953 Atlantic BlvdMaywood, CA 90270-3133 · (323) 562-6170 · Fax (323) 562-6176
Phone(626) 350-8101
Fax(626) 442-0196
Organization SubpartNo
Authorized OfficialAlan K KimsPresident · (323) 562-6170
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1578624672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
3564 SANTA ANITA AVE STE A, El Monte, CA 91731
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Other Names 1

Doing Business AsClinica Humanitaria

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ardmore Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Carlos Bulaon, M.D.
Family Practice
NPI 1285796375
3500 WHITTIER BLVD STE 105
Los Angeles, CA 90023
(323) 262-8100
✔ PECOS9.6 mi
Daniel Tran, M.D.
Family Practice
NPI 1063574150
2765 E FLORENCE AVE
Huntington Park, CA 90255
(323) 588-6888
✔ PECOS12 mi
Brian Mirazic, M.D.
General Practice
NPI 1215099320
3518 W 8TH ST
Los Angeles, CA 90005
(213) 384-9949
✔ PECOS15 mi
Robert Jaffe, MD
Internal Medicine
NPI 1326328444
22139 BURBANK BLVD UNIT 5
Woodland Hills, CA 91367
(818) 713-1378
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ardmore Medical Group's NPI number?

The NPI number for Ardmore Medical Group is 1578624672. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Clinica Humanitaria.

Where is Ardmore Medical Group located?

Ardmore Medical Group is located at 3564 Santa Anita Ave Ste A, El Monte, CA 91731. The listed phone number is (626) 350-8101.

What is Ardmore Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ardmore Medical Group enrolled in Medicare?

Yes. Ardmore Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ardmore Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ardmore Medical Group, in Family Practice, General Practice and Internal Medicine. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ardmore Medical Group was last updated on September 11, 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.