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NILOO MEDICAL GROUP INC
NPI 1801214853
Family Medicine in Los Angeles, CA

Active since April 06, 2014CLIA 05D2098214 · Waiver
4762 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 796-0500(323) 796-0558 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niloo Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NILOO MEDICAL GROUP INC (NPI 1801214853) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Raymond Moallemi, President, as its authorized official.

NPPES Registry Identity

NPI1801214853
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNILOO MEDICAL GROUP INC
Location Address4762 WHITTIER BLVDLos Angeles, CA 90022-3026
Mailing Address4762 Whittier BlvdLos Angeles, CA 90022-3026 · (323) 796-0500 · Fax (323) 796-0558
Phone(323) 796-0500
Fax(323) 796-0558
Organization SubpartNo
Authorized OfficialRaymond MoallemiPresident · (323) 796-0500
Enumeration DateApril 6, 2014
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1801214853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4762 WHITTIER BLVD, Los Angeles, CA 90022
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niloo Medical Group 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 Niloo Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raymond Moallemi, M.D.
Family Practice
NPI 1184944035
4075 WHITTIER BLVD
Los Angeles, CA 90023
(323) 796-0500
✔ PECOS✔ Accepts Medicare1.1 mi

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 05D2098214

Niloo Medical Group, Inc · Los Angeles, CA
Active · expires Jan 22, 2027
CLIA Number05D2098214
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorRaymond Moallemi, MD
Laboratory Phone(323) 796-0500
Laboratory LocationNiloo Medical Group, Inc4762 Whittier Blvd, Los Angeles, CA 90022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Niloo Medical Group Inc's NPI number?

The NPI number for Niloo Medical Group Inc is 1801214853. It was assigned to this organization in the NPPES registry on April 6, 2014.

Where is Niloo Medical Group Inc located?

Niloo Medical Group Inc is located at 4762 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 796-0500.

What is Niloo Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Niloo Medical Group Inc enrolled in Medicare?

Yes. Niloo Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Niloo Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Niloo Medical Group 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 Niloo Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2098214) is associated with this NPI, valid through January 22, 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 Niloo Medical Group Inc was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.