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IMPERIAL PRIMARY CARE MEDICAL GROUP
NPI 1598893455
Family Medicine in La Mirada, CA

Active since March 01, 2007CLIA 05D0981364 · Waiver
15625 IMPERIAL HWY, LA MIRADA, CA 90638(562) 902-3000(562) 902-9563 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Imperial Primary Care Medical Group NPPES

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

IMPERIAL PRIMARY CARE MEDICAL GROUP (NPI 1598893455) is a healthcare organization registered as a family medicine in La Mirada, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Jamshid Maleki, President, as its authorized official.

NPPES Registry Identity

NPI1598893455
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPERIAL PRIMARY CARE MEDICAL GROUP
Location Address15625 IMPERIAL HWYLa Mirada, CA 90638
Mailing Address15034 Imperial HwyLa Mirada, CA 90638-1301 · (562) 902-3000 · Fax (562) 902-9563
Phone(562) 902-3000
Fax(562) 902-9563
Organization SubpartNo
Authorized OfficialJamshid MalekiPresident · (562) 902-3000
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 14, 2018
✔ NPI 1598893455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A61645
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License G32190 (CA)
15625 IMPERIAL HWY, La Mirada, CA 90638
Open in Google Maps ↗

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

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 05D0981364

Imperial Primary Care · La Mirada, CA
Active · expires Dec 21, 2026
CLIA Number05D0981364
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorMarcus W. Lum MD
Laboratory Phone(562) 902-3000
Laboratory LocationImperial Primary Care15625 Imperial Highway, La Mirada, CA 90638
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE KEHAULANI HUMPHRIES WIDGER PA-C
Physician Assistant
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
MICHAEL O ROACH MD
Family Medicine (Geriatric Medicine)
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
NEELAM PATEL
Physician Assistant
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000

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 Imperial Primary Care Medical Group's NPI number?

The NPI number for Imperial Primary Care Medical Group is 1598893455. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Imperial Primary Care Medical Group located?

Imperial Primary Care Medical Group is located at 15625 Imperial Hwy, La Mirada, CA 90638. The listed phone number is (562) 902-3000.

What is Imperial Primary Care Medical Group's specialty?

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

Does Imperial Primary Care Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0981364) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imperial Primary Care Medical Group was last updated on August 14, 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.