ASSUTA FAMILY MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
NPI 1639400260
Family Medicine in North Hollywood, CA
About Assuta Family Medical Group A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASSUTA FAMILY MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION (NPI 1639400260) is a healthcare organization registered as a family medicine in North Hollywood, California and active in the NPI registry since January 2010. The organization holds 2 active CLIA laboratory certificates and lists Nataraj Chandrasekhar, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Assuta Family Medical Group A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Assuta Family Medical Group A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
North Hollywood, CA 91606
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 2
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 05D2008043
Assuta Family Medical Group Apmc · North Hollywood, CACertificate of Waiver 05D2148811
Assuta Family Medical Group, A Professional Medical Corporation · Palmdale, 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 Assuta Family Medical Group A Professional Medical Corporation's NPI number?
The NPI number for Assuta Family Medical Group A Professional Medical Corporation is 1639400260. It was assigned to this organization in the NPPES registry on January 21, 2010.
Where is Assuta Family Medical Group A Professional Medical Corporation located?
Assuta Family Medical Group A Professional Medical Corporation is located at 12922 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 760-2800.
What is Assuta Family Medical Group A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Assuta Family Medical Group A Professional Medical Corporation enrolled in Medicare?
Yes. Assuta Family Medical Group A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Assuta Family Medical Group A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Assuta Family Medical Group A Professional Medical Corporation. 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. The largest specialties are Urology (7), Family Practice (1) and Rheumatology (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Assuta Family Medical Group A Professional Medical Corporation hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Assuta Family Medical Group A Professional Medical Corporation was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Assuta Family Medical Group A Professional Medical Corporation · NPI 1639400260
Family Medicine organization in North Hollywood, California. Organization record, active in the CMS NPPES registry since January 21, 2010.
## Identity
- **NPI:** 1639400260 (Entity type: Organization)
- **Enumerated:** January 21, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nataraj Chandrasekhar, MANAGER
## Practice location
- **Address:** 12922 VICTORY BLVD, North Hollywood, CA 91606-2924
- **Phone:** (818) 760-2800 · **Fax:** (818) 760-7343
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (7), Family Practice (1), Rheumatology (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639400260) · Data from the CMS NPPES public registry.