SOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP
NPI 1689203374
Internal Medicine in Pasadena, CA

Active since April 04, 2020CLIA 05D2188712 · Waiver
1713 E WALNUT ST, PASADENA, CA 91106(818) 482-5500 Get Directions Write a Review

NPPES record last updated: April 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern California Internists Medical Group NPPES

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

SOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP (NPI 1689203374) is a healthcare organization registered as an internal medicine in Pasadena, California and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Gregor Paronian, President, as its authorized official.

NPPES Registry Identity

NPI1689203374
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP
Location Address1713 E WALNUT STPasadena, CA 91106-1611
Mailing Address1713 E Walnut StPasadena, CA 91106-1611 · (818) 482-5500
Organization SubpartNo
Authorized OfficialGregor ParonianPresident · (818) 482-5500
Enumeration DateApril 4, 2020
NPPES CertifiedApril 4, 2020
✔ NPI 1689203374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1713 E WALNUT ST, Pasadena, CA 91106

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Southern California Internists Medical Group 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 Southern California Internists Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1629857255
1713 E WALNUT ST
Pasadena, CA 91106
(626) 696-3607
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1366627945
1713 E WALNUT ST
Pasadena, CA 91106
(626) 696-3607
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1932390580
50 BELLEFONTAINE ST #307
Pasadena, CA 91105
(626) 795-0411
✔ PECOS✔ Accepts Medicare2.4 mi

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 05D2188712

Southern California Internists Medical Group · Pasadena, CA
Active · expires Jul 20, 2028
CLIA Number05D2188712
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorGregor Paronian
Laboratory Phone(626) 756-7607
Laboratory LocationSouthern California Internists Medical Group1713 East Walnut Street, Pasadena, CA 91106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Southern California Internists Medical Group's NPI number?

The NPI number for Southern California Internists Medical Group is 1689203374. It was assigned to this organization in the NPPES registry on April 4, 2020.

Where is Southern California Internists Medical Group located?

Southern California Internists Medical Group is located at 1713 E Walnut St, Pasadena, CA 91106. The listed phone number is (818) 482-5500.

What is Southern California Internists Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southern California Internists Medical Group enrolled in Medicare?

Yes. Southern California Internists Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Internists Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern California Internists Medical Group, in 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern California Internists Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2188712) is associated with this NPI, valid through July 20, 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 Southern California Internists Medical Group was last updated on April 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.