MAYWOOD FAMILY MEDICAL CENTER
NPI 1801184841
Clinic/Center in Maywood, CA
About Maywood Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYWOOD FAMILY MEDICAL CENTER (NPI 1801184841) is a healthcare organization registered as a clinic/center in Maywood, California and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Ragaa Z. Iskarous, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maywood Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maywood Family Medical Center, 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 05D0966981
Maywood Family Medical Center · Maywood, 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 Maywood Family Medical Center's NPI number?
The NPI number for Maywood Family Medical Center is 1801184841. It was assigned to this organization in the NPPES registry on July 12, 2011.
Where is Maywood Family Medical Center located?
Maywood Family Medical Center is located at 5920 Atlantic Blvd, Maywood, CA 90270. The listed phone number is (323) 562-2535.
What is Maywood Family Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Maywood Family Medical Center enrolled in Medicare?
Yes. Maywood Family Medical Center is registered in the Medicare PECOS enrollment system.
When is Maywood Family Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Maywood Family Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Maywood Family Medical Center. 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 Maywood Family Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0966981) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Maywood Family Medical Center was last updated on July 12, 2011. 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.
# Maywood Family Medical Center · NPI 1801184841
Clinic/Center organization in Maywood, California. Organization record, active in the CMS NPPES registry since July 12, 2011.
## Identity
- **NPI:** 1801184841 (Entity type: Organization)
- **Enumerated:** July 12, 2011
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Ragaa Iskarous, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 5920 ATLANTIC BLVD, Maywood, CA 90270-3101
- **Phone:** (323) 562-2535 · **Fax:** (323) 562-2558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** July 12, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801184841) · Data from the CMS NPPES public registry.