RENATO V. MUNGCAL, M.D., INC.
NPI 1720550056
Clinic/Center - Primary Care in Los Angeles, CA
About Renato V. Mungcal, M.d., Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENATO V. MUNGCAL, M.D., INC. (NPI 1720550056) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 21, 2028, maintains a secondary practice location in Santa Clarita, and lists Renato Mungcal, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Renato V. Mungcal, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Renato V. Mungcal, M.D., Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 05D1090976
Renato V Mungcal, MD, Inc · Santa Clarita, CAFrequently 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 Renato V. Mungcal, M.D., Inc.'s NPI number?
The NPI number for Renato V. Mungcal, M.D., Inc. is 1720550056. It was assigned to this organization in the NPPES registry on December 27, 2018.
Where is Renato V. Mungcal, M.D., Inc. located?
Renato V. Mungcal, M.D., Inc. is located at 133 S Vermont Ave, Los Angeles, CA 90004. The listed phone number is (213) 480-0748.
What is Renato V. Mungcal, M.D., Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Renato V. Mungcal, M.D., Inc. enrolled in Medicare?
Yes. Renato V. Mungcal, M.D., Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renato V. Mungcal, M.D., Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Renato V. Mungcal, M.D., Inc., in Family Practice 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Renato V. Mungcal, M.D., Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1090976) is associated with this NPI, valid through October 21, 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 Renato V. Mungcal, M.D., Inc. was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Renato V. Mungcal, M.d., Inc. · NPI 1720550056
Primary Care organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since December 27, 2018.
## Identity
- **NPI:** 1720550056 (Entity type: Organization)
- **Enumerated:** December 27, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Renato Mungcal, PHYSICIAN
## Practice location
- **Address:** 133 S VERMONT AVE, Los Angeles, CA 90004-5904
- **Phone:** (213) 480-0748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720550056) · Data from the CMS NPPES public registry.