COLIMA MEDICAL CLINIC PC
NPI 1760585129
Family Medicine in Hacienda Heights, CA
About Colima Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLIMA MEDICAL CLINIC PC (NPI 1760585129) is a healthcare organization registered as a family medicine in Hacienda Heights, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2028 and lists Liji Liu, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 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)
Colima Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Colima Medical Clinic PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Hacienda Heights, CA 91745
Hacienda Heights, CA 91745
Hacienda Heights, CA 91745
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 05D0719144
Colima Medical Clinic · Hacienda Heights, 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 Colima Medical Clinic PC's NPI number?
The NPI number for Colima Medical Clinic PC is 1760585129. It was assigned to this organization in the NPPES registry on September 7, 2006.
Where is Colima Medical Clinic PC located?
Colima Medical Clinic PC is located at 1850 S Azusa Ave Suite 205, Hacienda Heights, CA 91745. The listed phone number is (626) 964-2880.
What is Colima Medical Clinic PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Colima Medical Clinic PC enrolled in Medicare?
Yes. Colima Medical Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colima Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Colima Medical Clinic PC. 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 (3), Family Practice (2) and Geriatric Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Colima Medical Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0719144) is associated with this NPI, valid through November 15, 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 Colima Medical Clinic PC was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Colima Medical Clinic Pc · NPI 1760585129
Family Medicine organization in Hacienda Heights, California. Organization record, active in the CMS NPPES registry since September 7, 2006.
## Identity
- **NPI:** 1760585129 (Entity type: Organization)
- **Enumerated:** September 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Liji Liu, SECRETARY
## Practice location
- **Address:** 1850 S AZUSA AVE, SUITE 205, Hacienda Heights, CA 91745
- **Phone:** (626) 964-2880 · **Fax:** (626) 964-2834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Family Practice (2), Geriatric Medicine (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2010
- **Other identifiers:** Medicaid GR0069010 (CA); Medicare ID-Type Unspecified W2130
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760585129) · Data from the CMS NPPES public registry.