LA FE MEDICAL GROUP
NPI 1609056639
Legal Medicine in Los Angeles, CA
About La Fe Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA FE MEDICAL GROUP (NPI 1609056639) is a healthcare organization registered as a legal medicine in Los Angeles, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 14, 2028 and lists Angelica Barrientos, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
La Fe Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to La Fe 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 (2)
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 05D1033870
La Fe Medical Group · Los Angeles, CAFrequently 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 La Fe Medical Group's NPI number?
The NPI number for La Fe Medical Group is 1609056639. It was assigned to this organization in the NPPES registry on November 7, 2007.
Where is La Fe Medical Group located?
La Fe Medical Group is located at 3000 East 1st Street, Los Angeles, CA 90063. The listed phone number is (323) 262-6935.
What is La Fe Medical Group's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is La Fe Medical Group enrolled in Medicare?
Yes. La Fe Medical Group is registered in the Medicare PECOS enrollment system.
When is La Fe Medical Group'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 March 31, 2027. 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 La Fe Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to La Fe Medical Group, in Family Practice and General Practice. 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.
Does La Fe Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1033870) is associated with this NPI, valid through November 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for La Fe Medical Group was last updated on October 22, 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.
# La Fe Medical Group · NPI 1609056639
Legal Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 7, 2007.
## Identity
- **NPI:** 1609056639 (Entity type: Organization)
- **Enumerated:** November 7, 2007
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Angelica Barrientos, ADMINISTRATOR
## Practice location
- **Address:** 3000 EAST 1ST STREET, Los Angeles, CA 90063-2807
- **Phone:** (323) 262-6935 · **Fax:** (323) 262-3109
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2012
- **Other identifiers:** Other W13455 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609056639) · Data from the CMS NPPES public registry.