SAN MIGUEL MEDICAL CLINIC, INC
NPI 1801992565
Clinic/Center in South Gate, CA
About San Miguel Medical Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN MIGUEL MEDICAL CLINIC, INC (NPI 1801992565) is a healthcare organization registered as a clinic/center in South Gate, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Naim Salama, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
San Miguel 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 San Miguel Medical Clinic, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
South Gate, CA 90280
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 05D0864481
San Miguel Medical Clinic · 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 San Miguel Medical Clinic, Inc's NPI number?
The NPI number for San Miguel Medical Clinic, Inc is 1801992565. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is San Miguel Medical Clinic, Inc located?
San Miguel Medical Clinic, Inc is located at 8204 Long Beach Blvd Suite B, South Gate, CA 90280. The listed phone number is (323) 588-3300.
What is San Miguel Medical Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is San Miguel Medical Clinic, Inc enrolled in Medicare?
Yes. San Miguel Medical Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through San Miguel Medical Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to San Miguel 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 San Miguel Medical Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0864481) is associated with this NPI, valid through August 31, 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 San Miguel Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# San Miguel Medical Clinic, Inc · NPI 1801992565
Clinic/Center organization in South Gate, California. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1801992565 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Naim Salama, OWNER
## Practice location
- **Address:** 8204 LONG BEACH BLVD, SUITE B, South Gate, CA 90280-2011
- **Phone:** (323) 588-3300 · **Fax:** (323) 588-0855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid GR0066650 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801992565) · Data from the CMS NPPES public registry.