LAKE LOS ANGELES COMMUNITY CLINIC
NPI 1720090616
Clinic/Center in Palmdale, CA
About Lake Los Angeles Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE LOS ANGELES COMMUNITY CLINIC (NPI 1720090616) is a healthcare organization registered as a clinic/center in Palmdale, California and active in the NPI registry since August 2006. The organization lists Beryl Brooks, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Los Angeles Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,934Medicare enrollment records show 1,934 clinicians reassign Medicare billing to Lake Los Angeles Community Clinic, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 67
Nearest to this location (20)
See all 1,934Source: 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 County Of Los Angeles's NPI number?
The NPI number for County Of Los Angeles is 1720090616. It was assigned to this organization in the NPPES registry on August 12, 2006. The provider is doing business as Lake Los Angeles Community Clinic.
Where is County Of Los Angeles located?
County Of Los Angeles is located at 16921 E Avenue O Ste G, Palmdale, CA 93591. The listed phone number is (661) 945-8444.
What is County Of Los Angeles's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is County Of Los Angeles enrolled in Medicare?
Yes. County Of Los Angeles is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through County Of Los Angeles?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,934 clinicians in 67 Medicare specialties reassign their Medicare billing to County Of Los Angeles. 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 (263), Diagnostic Radiology (203) and Nurse Practitioner (196). Of these, 10 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 County Of Los Angeles was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lake Los Angeles Community Clinic · NPI 1720090616
Clinic/Center organization in Palmdale, California. Organization record, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1720090616 (Entity type: Organization)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** County Of Los Angeles
- **Organization subpart:** Yes (part of County Of Los Angeles)
- **Authorized official:** Beryl Brooks, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 16921 E AVENUE O STE G, Palmdale, CA 93591-3045
- **Phone:** (661) 945-8444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,934 clinicians in 67 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (263), Diagnostic Radiology (203), Nurse Practitioner (196); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1720090616/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720090616) · Data from the CMS NPPES public registry.