UNIVERSAL MEDICAL CLINIC, INC.
NPI 1760671077
Family Medicine in Reseda, CA
About Universal Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSAL MEDICAL CLINIC, INC. (NPI 1760671077) is a healthcare organization registered as a family medicine in Reseda, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Gholam R Hosseinian, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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)
Universal Medical Clinic, 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 Universal Medical Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 05D1078480
Universal Medical Clinic Inc · Reseda, 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 Universal Medical Clinic, Inc.'s NPI number?
The NPI number for Universal Medical Clinic, Inc. is 1760671077. It was assigned to this organization in the NPPES registry on October 23, 2007.
Where is Universal Medical Clinic, Inc. located?
Universal Medical Clinic, Inc. is located at 18701 Sherman Way, Reseda, CA 91335. The listed phone number is (310) 323-9999.
What is Universal Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Universal Medical Clinic, Inc. enrolled in Medicare?
Yes. Universal Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Universal Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Universal Medical Clinic, 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 Universal Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1078480) is associated with this NPI, valid through January 9, 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 Universal Medical Clinic, Inc. was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Universal Medical Clinic, Inc. · NPI 1760671077
Family Medicine organization in Reseda, California. Organization record, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1760671077 (Entity type: Organization)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Gholam Hosseinian, PHYSICIAN
## Practice location
- **Address:** 18701 SHERMAN WAY, Reseda, CA 91335-4045
- **Phone:** (310) 323-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2007
- **Other identifiers:** Medicare UPIN A72485; Medicaid 00A724850 (CA); Medicare UPIN A52178 (CA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760671077) · Data from the CMS NPPES public registry.