LOS ALAMITOS CARDIOVASCULAR
NPI 1720035686
Specialist in Los Alamitos, CA

Active since May 27, 2006CLIA 05D1052201 · Waiver
5300 KATELLA AVE, LOS ALAMITOS, CA 90720(562) 430-7533(562) 430-8055 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Los Alamitos Cardiovascular NPPES

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

LOS ALAMITOS CARDIOVASCULAR (NPI 1720035686) is a healthcare organization registered as a specialist in Los Alamitos, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Steven T. Forman, President, as its authorized official.

NPPES Registry Identity

NPI1720035686
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLOS ALAMITOS INTERNAL MEDICAL GROUP INC
Location Address5300 KATELLA AVELos Alamitos, CA 90720-2808
Mailing Address5300 Katella AveLos Alamitos, CA 90720-2808 · (562) 430-7533 · Fax (562) 430-8055
Fax(562) 430-8055
Organization SubpartNo
Authorized OfficialSteven T. FormanPresident · (562) 430-7533
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1720035686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A73497
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5300 KATELLA AVE, Los Alamitos, CA 90720

Other Names 1

Doing Business AsLos Alamitos Cardiovascular

Other Identifiers 5

Medicaid00G338210CA
Medicaid00A452500CA
Medicaid00G472290CA
Medicaid00G853440CA
Medicaid00G658950CA

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)

Los Alamitos Cardiovascular is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Los Alamitos Cardiovascular, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Cardiovascular Disease (Cardiology)
NPI 1083656086
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1023059763
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1366805590
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1861684201
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1467493155
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1821165549
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1396783387
5300 KATELLA AVE
Los Alamitos, CA 90720
(562) 430-7533
✔ PECOS✔ Accepts MedicareSame address

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 05D1052201

Los Alamitos Cardiovascular · Los Alamitos, CA
Active · expires Mar 19, 2028
CLIA Number05D1052201
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorSteven Forman MD
Laboratory Phone(562) 430-7533
Laboratory LocationLos Alamitos Cardiovascular5300 Katella Ave, Los Alamitos, CA 90720
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 Los Alamitos Internal Medical Group Inc's NPI number?

The NPI number for Los Alamitos Internal Medical Group Inc is 1720035686. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Los Alamitos Cardiovascular.

Where is Los Alamitos Internal Medical Group Inc located?

Los Alamitos Internal Medical Group Inc is located at 5300 Katella Ave, Los Alamitos, CA 90720. The listed phone number is (562) 430-7533.

What is Los Alamitos Internal Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Los Alamitos Internal Medical Group Inc enrolled in Medicare?

Yes. Los Alamitos Internal Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Alamitos Internal Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Los Alamitos Internal 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 Cardiovascular Disease (Cardiology) (4), Interventional Cardiology (2) and Internal Medicine (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Los Alamitos Internal Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1052201) is associated with this NPI, valid through March 19, 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 Los Alamitos Internal Medical Group Inc was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.