MITLA PROFESSIONAL NURSING CARE, INC
NPI 1811750425
Clinic/Center in Baldwin Park, CA
About Mitla Professional Nursing Care, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITLA PROFESSIONAL NURSING CARE, INC (NPI 1811750425) is a healthcare organization registered as a clinic/center in Baldwin Park, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through October 3, 2028 and lists Antonio Martinez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mitla Professional Nursing Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mitla Professional Nursing Care, Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 05D2312129
Mitla Professional Nursing Care Inc · Baldwin Park, 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 Mitla Professional Nursing Care, Inc's NPI number?
The NPI number for Mitla Professional Nursing Care, Inc is 1811750425. It was assigned to this organization in the NPPES registry on February 5, 2024.
Where is Mitla Professional Nursing Care, Inc located?
Mitla Professional Nursing Care, Inc is located at 4111 Maine Ave, Baldwin Park, CA 91706. The listed phone number is (626) 939-0676.
What is Mitla Professional Nursing Care, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Mitla Professional Nursing Care, Inc enrolled in Medicare?
Yes. Mitla Professional Nursing Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mitla Professional Nursing Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mitla Professional Nursing Care, Inc, in Family Practice and Nurse Practitioner. 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 Mitla Professional Nursing Care, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2312129) is associated with this NPI, valid through October 3, 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 Mitla Professional Nursing Care, Inc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mitla Professional Nursing Care, Inc · NPI 1811750425
Clinic/Center organization in Baldwin Park, California. Organization record, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1811750425 (Entity type: Organization)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Antonio Martinez, CEO
## Practice location
- **Address:** 4111 MAINE AVE, Baldwin Park, CA 91706-3307
- **Phone:** (626) 939-0676 · **Fax:** (626) 517-5482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811750425) · Data from the CMS NPPES public registry.