LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION
NPI 1760947451
General Practice in South Gate, CA
About Loyola Family Health Center Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION (NPI 1760947451) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Alejandro Lazaro Gonzalez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Loyola Family Health Center Professional Corporation 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 Loyola Family Health Center Professional Corporation, 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 05D2177339
Loyola Family Health Center Loyola Family Health Ctr, Professional Corp · South Gate, 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 Loyola Family Health Center Professional Corporation's NPI number?
The NPI number for Loyola Family Health Center Professional Corporation is 1760947451. It was assigned to this organization in the NPPES registry on February 6, 2019.
Where is Loyola Family Health Center Professional Corporation located?
Loyola Family Health Center Professional Corporation is located at 4225 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 564-6464.
What is Loyola Family Health Center Professional Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Loyola Family Health Center Professional Corporation enrolled in Medicare?
Yes. Loyola Family Health Center Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Loyola Family Health Center Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Loyola Family Health Center Professional Corporation. 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 Loyola Family Health Center Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2177339) is associated with this NPI, valid through January 7, 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 Loyola Family Health Center Professional Corporation was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Loyola Family Health Center Professional Corporation · NPI 1760947451
General Practice organization in South Gate, California. Organization record, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1760947451 (Entity type: Organization)
- **Enumerated:** February 6, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Alejandro Gonzalez, OWNER
## Practice location
- **Address:** 4225 TWEEDY BLVD, South Gate, CA 90280-6217
- **Phone:** (323) 564-6464 · **Fax:** (323) 564-8578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760947451) · Data from the CMS NPPES public registry.