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CEDARS TOWER MEDICAL GROUP, INC
NPI 1689939787
Nurse Practitioner - Primary Care in Los Angeles, CA

Active since July 05, 2012CLIA 05D2228431 · Waiver
8631 W 3RD ST STE 1140, LOS ANGELES, CA 90048(323) 712-1411(818) 506-9030 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedars Tower Medical Group, Inc NPPES

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

CEDARS TOWER MEDICAL GROUP, INC (NPI 1689939787) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Alina Kievsky, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1689939787
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCEDARS TOWER MEDICAL GROUP, INC
Location Address8631 W 3RD ST STE 1140Los Angeles, CA 90048-5965
Mailing Address8631 W 3rd St Ste 1140Los Angeles, CA 90048-5965 · (323) 712-1411 · Fax (818) 506-9030
Phone(323) 712-1411
Fax(818) 506-9030
Organization SubpartNo
Authorized OfficialAlina KievskyVice-president · (323) 606-3888
Enumeration DateJuly 5, 2012
✔ NPI 1689939787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 21671
8631 W 3RD ST STE 1140, Los Angeles, CA 90048
Open in Google Maps ↗

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

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 05D2228431

Cedars Tower Medical Group Inc · Los Angeles, CA
Active · expires Jun 24, 2027
CLIA Number05D2228431
Laboratory TypePractitioner Other
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorRamprasad C. Dandillaya
Laboratory Phone(323) 606-3888
Laboratory LocationCedars Tower Medical Group Inc7119 1/2 Sunset Blvd, Los Angeles, CA 90046
CLIA data matches this NPI record on: Name Phone
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 Cedars Tower Medical Group, Inc's NPI number?

The NPI number for Cedars Tower Medical Group, Inc is 1689939787. It was assigned to this organization in the NPPES registry on July 5, 2012.

Where is Cedars Tower Medical Group, Inc located?

Cedars Tower Medical Group, Inc is located at 8631 W 3rd St Ste 1140, Los Angeles, CA 90048. The listed phone number is (323) 712-1411.

What is Cedars Tower Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Cedars Tower Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2228431) is associated with this NPI, valid through June 24, 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 Cedars Tower Medical Group, Inc was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.