VICTORIAN CARE MEDICAL GROUP, INC.
NPI 1821172008
Internal Medicine in Inglewood, CA
About Victorian Care Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTORIAN CARE MEDICAL GROUP, INC. (NPI 1821172008) is a healthcare organization registered as an internal medicine in Inglewood, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Nwachukwu A. Anakwenze, Owner/doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
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)
Victorian Care Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Victorian Care Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. 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 05D1009600
Victorian Care Medical Center · Inglewood, 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 Victorian Care Medical Group, Inc.'s NPI number?
The NPI number for Victorian Care Medical Group, Inc. is 1821172008. It was assigned to this organization in the NPPES registry on October 25, 2006.
Where is Victorian Care Medical Group, Inc. located?
Victorian Care Medical Group, Inc. is located at 11149 Crenshaw Blvd, Inglewood, CA 90303. The listed phone number is (310) 677-4600.
What is Victorian Care Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Victorian Care Medical Group, Inc. enrolled in Medicare?
Yes. Victorian Care Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is Victorian Care Medical Group, Inc.'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 December 31, 2026. 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 Victorian Care Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Practice, reassign their Medicare billing to Victorian Care 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Victorian Care Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1009600) is associated with this NPI, valid through March 15, 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 Victorian Care Medical Group, Inc. was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Victorian Care Medical Group, Inc. · NPI 1821172008
Internal Medicine organization in Inglewood, California. Organization record, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1821172008 (Entity type: Organization)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Nwachukwu Anakwenze, OWNER/DOCTOR
## Practice location
- **Address:** 11149 CRENSHAW BLVD, Inglewood, CA 90303-2338
- **Phone:** (310) 677-4600 · **Fax:** (310) 677-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (General Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2017
- **Other identifiers:** Medicare PIN W15252 (CA); Medicare UPIN A51749 (CA); Medicaid 00G506070 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821172008) · Data from the CMS NPPES public registry.