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UNIMED HEALTH CENTER GROUP INC
NPI 1700361029
Family Medicine in Los Angeles, CA

Active since October 02, 2018CLIA 05D2162652 · Waiver
4065 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 968-1170(323) 968-1175 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Oct 2, 2018 (2 updates tracked since 2018).

About Unimed Health Center Group Inc NPPES

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

UNIMED HEALTH CENTER GROUP INC (NPI 1700361029) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Ambrose Fuerte, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700361029
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIMED HEALTH CENTER GROUP INC
Location Address4065 WHITTIER BLVDLos Angeles, CA 90023-2556
Mailing Address4065 Whittier BlvdLos Angeles, CA 90023-2556 · (323) 968-1170 · Fax (323) 968-1175
Phone(323) 968-1170
Fax(323) 968-1175
Organization SubpartNo
Authorized OfficialAmbrose FuerteAdministrator · (323) 968-1170
Enumeration DateOctober 2, 2018
Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1700361029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4065 WHITTIER BLVD, Los Angeles, CA 90023
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Unimed Health Center Group Inc 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 Unimed Health Center Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rubio Punzalan, M.D.
Pathology
NPI 1093937708
1241 ENCINO DR
San Marino, CA 91108
(626) 201-9893
✔ PECOS7.5 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 05D2162652

Unimed Health Center Group · Los Angeles, CA
Active · expires Feb 26, 2027
CLIA Number05D2162652
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorAlexandre Lucien
Laboratory Phone(323) 968-1170
Laboratory LocationUnimed Health Center Group4065 Whittier Boulevard, Los Angeles, CA 90023
CLIA data matches this NPI record on: Address 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 Unimed Health Center Group Inc's NPI number?

The NPI number for Unimed Health Center Group Inc is 1700361029. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Unimed Health Center Group Inc located?

Unimed Health Center Group Inc is located at 4065 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 968-1170.

What is Unimed Health Center Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Unimed Health Center Group Inc enrolled in Medicare?

Yes. Unimed Health Center Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Unimed Health Center Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Unimed Health Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Unimed Health Center Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162652) is associated with this NPI, valid through February 26, 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 Unimed Health Center Group Inc was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.