CC SOUTHBAY MEDICAL ASSOCIATES
NPI 1639053036
Clinic/Center - Primary Care in Torrance, CA

Active since July 31, 2025
3655 LOMITA BLVD STE 421, TORRANCE, CA 90505(562) 316-6555 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2026, Apr 28, 2026 (2 updates tracked since 2026).

About Cc Southbay Medical Associates NPPES

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

CC SOUTHBAY MEDICAL ASSOCIATES (NPI 1639053036) is a healthcare organization registered as a primary care in Torrance, California and active in the NPI registry since July 2025. The organization lists Roggielyz Yosores Padilla, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639053036
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCC SOUTHBAY MEDICAL ASSOCIATES
Location Address3655 LOMITA BLVD STE 421Torrance, CA 90505-1934
Mailing Address3655 Lomita Blvd Ste 421Torrance, CA 90505-1934 · (310) 540-5464 · Fax (310) 540-4761
Organization SubpartNo
Authorized OfficialRoggielyz Yosores PadillaCfo · (562) 316-6555
Enumeration DateJuly 31, 2025
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1639053036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3655 LOMITA BLVD STE 421, Torrance, CA 90505

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cc Southbay Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cc Southbay Medical Associates, 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 (3)

Nurse Practitioner
NPI 1124566724
3655 LOMITA BLVD STE 421
Torrance, CA 90505
(310) 540-5464
✔ PECOSSame address
Internal Medicine
NPI 1023045234
3451 W CENTURY BLVD
Inglewood, CA 90303
(310) 677-9400
✔ PECOS9.2 mi
Cardiovascular Disease (Cardiology)
NPI 1639230766
640 S SAN VICENTE BLVD STE 498
Los Angeles, CA 90048
(310) 425-0672
✔ PECOS✔ Accepts Medicare17 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 Cc Southbay Medical Associates's NPI number?

The NPI number for Cc Southbay Medical Associates is 1639053036. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Cc Southbay Medical Associates located?

Cc Southbay Medical Associates is located at 3655 Lomita Blvd Ste 421, Torrance, CA 90505. The listed phone number is (562) 316-6555.

What is Cc Southbay Medical Associates's specialty?

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

Is Cc Southbay Medical Associates enrolled in Medicare?

Yes. Cc Southbay Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cc Southbay Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cc Southbay Medical Associates, in Cardiovascular Disease (Cardiology), Internal Medicine 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.

When was this NPI record last updated?

The NPPES record for Cc Southbay Medical Associates was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.