GUADALAJARA MEDICAL CLINIC
NPI 1598984288
Clinic/Center - Family Planning, Non-Surgical in Los Angeles, CA
About Guadalajara Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUADALAJARA MEDICAL CLINIC (NPI 1598984288) is a healthcare organization registered as a family planning, non-surgical in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Victor Manuel Pedroza, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guadalajara Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Guadalajara Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Amavi A Professional Medical's NPI number?
The NPI number for Amavi A Professional Medical is 1598984288. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Guadalajara Medical Clinic.
Where is Amavi A Professional Medical located?
Amavi A Professional Medical is located at 2705 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 263-3861.
What is Amavi A Professional Medical's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Family Planning, Non-Surgical, with taxonomy code 261QF0050X.
Is Amavi A Professional Medical enrolled in Medicare?
Yes. Amavi A Professional Medical is registered in the Medicare PECOS enrollment system.
When is Amavi A Professional Medical's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Amavi A Professional Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Amavi A Professional Medical. 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.
When was this NPI record last updated?
The NPPES record for Amavi A Professional Medical was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Guadalajara Medical Clinic · NPI 1598984288
Family Planning, Non-Surgical organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1598984288 (Entity type: Organization)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Clinic/Center - Family Planning, Non-Surgical · taxonomy 261QF0050X
- **Legal business name:** Amavi A Professional Medical
- **Organization subpart:** No
- **Authorized official:** Victor Pedroza, MD
## Practice location
- **Address:** 2705 WHITTIER BLVD, Los Angeles, CA 90023-1441
- **Phone:** (323) 263-3861 · **Fax:** (323) 262-7132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2012
- **Other identifiers:** Other ZZZ43635Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1598984288) · Data from the CMS NPPES public registry.