DOROTHY MAE MEDICAL CLINIC
NPI 1669533907
Clinic/Center - Primary Care in Los Angeles, CA
About Dorothy Mae Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY MAE MEDICAL CLINIC (NPI 1669533907) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through March 30, 2028 and lists Michael Jerome Singleton, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Dorothy Mae Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dorothy Mae 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.
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0540345
Michael J Singleton MD Dba Dorothy Mae Medical Clinic · 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 Dorothy Mae Medical Clinic Inc.'s NPI number?
The NPI number for Dorothy Mae Medical Clinic Inc. is 1669533907. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as Dorothy Mae Medical Clinic.
Where is Dorothy Mae Medical Clinic Inc. located?
Dorothy Mae Medical Clinic Inc. is located at 8880 S Broadway, Los Angeles, CA 90003. The listed phone number is (323) 750-1196.
What is Dorothy Mae Medical Clinic Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Dorothy Mae Medical Clinic Inc. enrolled in Medicare?
Yes. Dorothy Mae Medical Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dorothy Mae Medical Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Dorothy Mae Medical Clinic Inc.. 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.
Does Dorothy Mae Medical Clinic Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0540345) is associated with this NPI, valid through March 30, 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 Dorothy Mae Medical Clinic Inc. was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dorothy Mae Medical Clinic · NPI 1669533907
Primary Care organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1669533907 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Dorothy Mae Medical Clinic Inc.
- **Organization subpart:** No
- **Authorized official:** Michael Singleton, CEO
## Practice location
- **Address:** 8880 S BROADWAY, Los Angeles, CA 90003-3635
- **Phone:** (323) 750-1196 · **Fax:** (323) 750-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2016
- **Other identifiers:** Other W14542 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669533907) · Data from the CMS NPPES public registry.