LA JOLLA MEDICAL GROUP INC
NPI 1811385230
Family Medicine - Adult Medicine in Los Angeles, CA

Active since January 07, 2015
6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048(323) 653-6431(323) 653-3895 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About La Jolla Medical Group Inc NPPES

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

LA JOLLA MEDICAL GROUP INC (NPI 1811385230) is a healthcare organization registered as an adult medicine in Los Angeles, California and active in the NPI registry since January 2015. The organization lists Masha J Livhits, President, as its authorized official.

NPPES Registry Identity

NPI1811385230
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameLA JOLLA MEDICAL GROUP INC
Location Address6221 WILSHIRE BLVD, SUITE 509Los Angeles, CA 90048-5201
Mailing Address6221 Wilshire Blvd, Suite 509Los Angeles, CA 90048-5201 · (323) 653-6431 · Fax (323) 653-3895
Fax(323) 653-3895
Organization SubpartNo
Authorized OfficialMasha J LivhitsPresident · (323) 653-6431
Enumeration DateJanuary 7, 2015
Last NPPES UpdateDecember 14, 2016
✔ NPI 1811385230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · A103993
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
6221 WILSHIRE BLVD, Los Angeles, CA 90048

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Jolla Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to La Jolla Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1659566875
100 UCLA MEDICAL PLZ STE 310
Los Angeles, CA 90024
(310) 267-7838
✔ PECOS✔ Accepts Medicare4.1 mi
General Practice
NPI 1508131509
1717 S UTICA AVE STE A
Tulsa, OK 74104
(918) 744-2630
✔ PECOS✔ Accepts Medicare1,274 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 La Jolla Medical Group Inc's NPI number?

The NPI number for La Jolla Medical Group Inc is 1811385230. It was assigned to this organization in the NPPES registry on January 7, 2015.

Where is La Jolla Medical Group Inc located?

La Jolla Medical Group Inc is located at 6221 Wilshire Blvd Suite 509, Los Angeles, CA 90048. The listed phone number is (323) 653-6431.

What is La Jolla Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is La Jolla Medical Group Inc enrolled in Medicare?

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

How many clinicians bill Medicare through La Jolla Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to La Jolla Medical Group Inc, in General Practice and General Surgery. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Jolla Medical Group Inc was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.