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TOLUCA LAKE MEDICAL CLINIC INC
NPI 1598657645
Family Medicine in Toluca Lake, CA

Active since July 15, 2025
4110 CAHUENGA BLVD, TOLUCA LAKE, CA 91602(747) 205-2095(747) 205-2559 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Toluca Lake Medical Clinic Inc NPPES

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

TOLUCA LAKE MEDICAL CLINIC INC (NPI 1598657645) is a healthcare organization registered as a family medicine in Toluca Lake, California and active in the NPI registry since July 2025. The organization lists Philip Kim, President, as its authorized official.

NPPES Registry Identity

NPI1598657645
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTOLUCA LAKE MEDICAL CLINIC INC
Location Address4110 CAHUENGA BLVDToluca Lake, CA 91602-2831
Mailing Address4110 Cahuenga BlvdToluca Lake, CA 91602-2831 · (747) 205-2095 · Fax (747) 205-2559
Phone(747) 205-2095
Fax(747) 205-2559
Organization SubpartNo
Authorized OfficialPhilip KimPresident · (747) 205-2095
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1598657645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4110 CAHUENGA BLVD, Toluca Lake, CA 91602
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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)

Toluca Lake Medical Clinic 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 Toluca Lake Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Karen Alcantara, FNP-BC
Nurse Practitioner
NPI 1336826445
9128 WOODMAN AVE
Arleta, CA 91331
(818) 892-7795
✔ PECOS✔ Accepts Medicare7.8 mi
Philip Kim, MD
Family Practice
NPI 1356781132
17507 CRENSHAW BLVD
Torrance, CA 90504
(310) 324-4443
✔ PECOS✔ Accepts Medicare19 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 Toluca Lake Medical Clinic Inc's NPI number?

The NPI number for Toluca Lake Medical Clinic Inc is 1598657645. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Toluca Lake Medical Clinic Inc located?

Toluca Lake Medical Clinic Inc is located at 4110 Cahuenga Blvd, Toluca Lake, CA 91602. The listed phone number is (747) 205-2095.

What is Toluca Lake Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toluca Lake Medical Clinic Inc enrolled in Medicare?

Yes. Toluca Lake Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Toluca Lake Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Toluca Lake Medical Clinic 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 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 Toluca Lake Medical Clinic Inc was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.