ICHIMI DOUSHIN RESOURCES, INC.
NPI 1598066581
Clinic/Center - Primary Care in City Of Industry, CA

Active since November 08, 2010CLIA 05D2028662 · Waiver
18605 GALE AVE STE 240, CITY OF INDUSTRY, CA 91748(626) 581-1282(888) 491-5175 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ichimi Doushin Resources, Inc. NPPES

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

ICHIMI DOUSHIN RESOURCES, INC. (NPI 1598066581) is a healthcare organization registered as a primary care in City Of Industry, California and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Xavier Jajin Hsieh, President, as its authorized official.

NPPES Registry Identity

NPI1598066581
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameICHIMI DOUSHIN RESOURCES, INC.
Location Address18605 GALE AVE STE 240City Of Industry, CA 91748-1361
Mailing Address18605 Gale Ave Ste 240City Of Industry, CA 91748-1361 · (626) 581-1282 · Fax (888) 491-5175
Fax(888) 491-5175
Organization SubpartNo
Authorized OfficialXavier Jajin HsiehPresident · (626) 581-1282
Enumeration DateNovember 8, 2010
Last NPPES UpdateMarch 28, 2018
✔ NPI 1598066581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
18605 GALE AVE STE 240, City Of Industry, CA 91748

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ichimi Doushin Resources, 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 Ichimi Doushin Resources, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1073713616
18605 GALE AVE SUITE 240
City Of Industry, CA 91748
(626) 581-1282
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285097998
18558 GALE AVE STE 200
City Of Industry, CA 91748
(626) 581-1282
✔ PECOS✔ Accepts Medicare0.1 mi

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 05D2028662

Ichimi Doushin Resources, Inc Dba X-Med Healthcare Professionals · City Of Industry, CA
Active · expires Aug 21, 2027
CLIA Number05D2028662
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorXavier Hsieh Do
Laboratory Phone(626) 581-1282
Laboratory LocationIchimi Doushin Resources, Inc Dba X-Med Healthcare Professionals18605 Gale Ave Ste 240, City Of Industry, CA 91748
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 Ichimi Doushin Resources, Inc.'s NPI number?

The NPI number for Ichimi Doushin Resources, Inc. is 1598066581. It was assigned to this organization in the NPPES registry on November 8, 2010.

Where is Ichimi Doushin Resources, Inc. located?

Ichimi Doushin Resources, Inc. is located at 18605 Gale Ave Ste 240, City Of Industry, CA 91748. The listed phone number is (626) 581-1282.

What is Ichimi Doushin Resources, Inc.'s specialty?

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

Is Ichimi Doushin Resources, Inc. enrolled in Medicare?

Yes. Ichimi Doushin Resources, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ichimi Doushin Resources, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ichimi Doushin Resources, Inc., in Family Practice and Nurse Practitioner. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ichimi Doushin Resources, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2028662) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ichimi Doushin Resources, Inc. was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.