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CASAS MEDICAL GROUP
NPI 1639233166
Family Medicine in West Covina, CA

Active since December 20, 2006CLIA 05D0930536 · Waiver
1901 W BADILLO ST, WEST COVINA, CA 91790(626) 962-5625(626) 962-2566 Get Directions Write a Review

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

Record update history: Feb 14, 2018, Jan 29, 2016 (2 updates tracked since 2016).

About Casas Medical Group NPPES

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

CASAS MEDICAL GROUP (NPI 1639233166) is a healthcare organization registered as a family medicine in West Covina, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Federico Casas Hinojosa, President, as its authorized official.

NPPES Registry Identity

NPI1639233166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHINE MEDICAL GROUP INC.
Location Address1901 W BADILLO STWest Covina, CA 91790-1133
Mailing Address1901 W Badillo StWest Covina, CA 91790-1133 · (626) 962-5625 · Fax (626) 962-2566
Phone(626) 962-5625
Fax(626) 962-2566
Organization SubpartNo
Authorized OfficialFederico Casas HinojosaPresident · (626) 962-5625
Enumeration DateDecember 20, 2006
Last NPPES UpdateFebruary 14, 20182 updates tracked since enumeration
✔ NPI 1639233166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A37463
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.
1901 W BADILLO ST, West Covina, CA 91790
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Other Names 1

Doing Business AsCasas Medical Group

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 05D0930536

Shine Medical Group Inc · West Covina, CA
Active · expires Jul 14, 2027
CLIA Number05D0930536
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRobert A. Tracy Do
Laboratory Phone(818) 962-5625
Laboratory LocationShine Medical Group Inc1901 W Badillo Street, West Covina, CA 91790
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. FEDERICO HINOJOSA PA.
Physician Assistant (Medical)
1901 W BADILLO ST
WEST COVINA, CA 91790
Los Angeles County (626) 962-5625

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 Shine Medical Group Inc.'s NPI number?

The NPI number for Shine Medical Group Inc. is 1639233166. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Casas Medical Group.

Where is Shine Medical Group Inc. located?

Shine Medical Group Inc. is located at 1901 W Badillo St, West Covina, CA 91790. The listed phone number is (626) 962-5625.

What is Shine Medical Group Inc.'s specialty?

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

Does Shine Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930536) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shine Medical Group Inc. was last updated on February 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.