PALMDALE MEDICAL CLINIC INC
NPI 1851849863
Family Medicine in Palmdale, CA

Active since September 19, 2016CLIA 05D2183329 · Waiver
540 W PALMDALE BLVD, SUITE B, PALMDALE, CA 93551(661) 947-5600(661) 947-5900 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palmdale Medical Clinic Inc NPPES

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

PALMDALE MEDICAL CLINIC INC (NPI 1851849863) is a healthcare organization registered as a family medicine in Palmdale, California and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Svetlana V Gorelikova, Owner, as its authorized official.

NPPES Registry Identity

NPI1851849863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePALMDALE MEDICAL CLINIC INC
Location Address540 W PALMDALE BLVD, SUITE BPalmdale, CA 93551-4232
Mailing Address540 W Palmdale Blvd, Suite BPalmdale, CA 93551-4232 · (661) 947-5600 · Fax (661) 947-5900
Fax(661) 947-5900
Organization SubpartNo
Authorized OfficialSvetlana V GorelikovaOwner · (661) 947-5600
Enumeration DateSeptember 19, 2016
✔ NPI 1851849863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A102339
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.
540 W PALMDALE BLVD, Palmdale, CA 93551

Other Identifiers 1

Other102339CA · Medical Lic

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 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)

Palmdale Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Palmdale Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1699953604
38780 TRADE CENTER DR # 1C
Palmdale, CA 93551
(661) 947-5600
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1992031306
38780 TRADE CENTER DR # 1C
Palmdale, CA 93551
(661) 947-5600
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1538748520
320 E PALMDALE BLVD
Palmdale, CA 93550
(818) 654-3887
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1154929495
520 W PALMDALE BLVD
Palmdale, CA 93551
(661) 947-3300
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1326654815
42135 10TH ST W STE 201
Lancaster, CA 93534
(661) 341-3800
✔ PECOS4.2 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 05D2183329

Palmdale Medical Clinic Inc · Palmdale, CA
Active · expires May 3, 2028
CLIA Number05D2183329
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorSvetlana Gorelikova
Laboratory Phone(661) 947-5600
Laboratory LocationPalmdale Medical Clinic Inc38780 Trade Center Drive Suite 1C, Palmdale, CA 93551
CLIA data matches this NPI record on: 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 Palmdale Medical Clinic Inc's NPI number?

The NPI number for Palmdale Medical Clinic Inc is 1851849863. It was assigned to this organization in the NPPES registry on September 19, 2016.

Where is Palmdale Medical Clinic Inc located?

Palmdale Medical Clinic Inc is located at 540 W Palmdale Blvd Suite B, Palmdale, CA 93551. The listed phone number is (661) 947-5600.

What is Palmdale Medical Clinic Inc's specialty?

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

Is Palmdale Medical Clinic Inc enrolled in Medicare?

Yes. Palmdale Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmdale Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Palmdale 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palmdale Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2183329) is associated with this NPI, valid through May 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 Palmdale Medical Clinic Inc was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.