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

Active since July 05, 2012
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: November 01, 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 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
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

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedars Tower Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120910000708Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cedars Tower Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1316900236
150 N ROBERTSON, SUITE 150
Beverly Hills, CA 90211
(310) 854-4995
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1295009306
7119 1/2 W SUNSET BLVD
Los Angeles, CA 90046
(310) 854-3972
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Cedars Tower Medical Group, Inc enrolled in Medicare?

Yes. Cedars Tower Medical Group, Inc is registered in the Medicare PECOS enrollment system.

When is Cedars Tower Medical Group, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 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 Cedars Tower Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cedars Tower Medical Group, Inc, 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.