WHITE MEMORIAL MEDICAL GROUP, INC.
NPI 1689769374
Internal Medicine in Los Angeles, CA
About White Memorial Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE MEMORIAL MEDICAL GROUP, INC. (NPI 1689769374) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since October 2006. The organization lists Alan C.k. Lau, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
White Memorial Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to White Memorial Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Los Angeles, CA 90033
Los Angeles, CA 90033
Los Angeles, CA 90033
Los Angeles, CA 90033
Los Angeles, CA 90033
Los Angeles, CA 90033
Los Angeles, CA 90033
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 6
Medicare supplier enrollment and the product categories White Memorial Medical Plaza Pharma carries, from the Medicare DMEPOS supplier directory.
White Memorial Medical Plaza Pharma
DMEPOS supplier · Los Angeles, CAOperated by White Memorial Medical Plaza Pharmacy Services IncAccepts Medicare assignment
White Memorial Medical Plaza Pharma agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 White Memorial Medical Group, Inc.'s NPI number?
The NPI number for White Memorial Medical Group, Inc. is 1689769374. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is White Memorial Medical Group, Inc. located?
White Memorial Medical Group, Inc. is located at 1701 E Cesar E Chavez Ave Suite #100, Los Angeles, CA 90033. The listed phone number is (323) 987-1362.
What is White Memorial Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is White Memorial Medical Group, Inc. enrolled in Medicare?
Yes. White Memorial Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is White Memorial Medical Group, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through White Memorial Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to White Memorial Medical Group, 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. The largest specialties are Internal Medicine (6), Podiatry (3) and Endocrinology (1). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does White Memorial Medical Group, Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, White Memorial Medical Plaza Pharma accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for White Memorial Medical Group, Inc. was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# White Memorial Medical Group, Inc. · NPI 1689769374
Internal Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1689769374 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Alan Lau, PRESIDENT
## Practice location
- **Address:** 1701 E CESAR E CHAVEZ AVE, SUITE #100, Los Angeles, CA 90033-2464
- **Phone:** (323) 987-1362 · **Fax:** (323) 987-1366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, California, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (6), Podiatry (3), Endocrinology (1); 9 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2017
- **Other identifiers:** Medicaid GRE001650 (CA); Medicaid GR0015740 (CA); Medicare PIN W8274; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1689769374) · Data from the CMS NPPES public registry.