LA LIBERTAD MEDICAL CLINIC INC.
NPI 1861882946
General Practice in Walnut Park, CA
About La Libertad Medical Clinic Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA LIBERTAD MEDICAL CLINIC INC. (NPI 1861882946) is a healthcare organization registered as a general practice in Walnut Park, California and active in the NPI registry since January 2015. The organization holds 2 active CLIA laboratory certificates and lists Ricardo E Chambi, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 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)
La Libertad 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 La Libertad Medical Clinic Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 2
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 05D2123115
La Libertad Medical Clinic Inc · Walnut Park, CACertificate of Waiver 05D0971697
La Liberatad 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 La Libertad Medical Clinic Inc.'s NPI number?
The NPI number for La Libertad Medical Clinic Inc. is 1861882946. It was assigned to this organization in the NPPES registry on January 28, 2015.
Where is La Libertad Medical Clinic Inc. located?
La Libertad Medical Clinic Inc. is located at 7900 Pacific Blvd Suite C Thru F, Walnut Park, CA 90255. The listed phone number is (323) 277-9455.
What is La Libertad Medical Clinic Inc.'s specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is La Libertad Medical Clinic Inc. enrolled in Medicare?
Yes. La Libertad Medical Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through La Libertad Medical Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to La Libertad 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 La Libertad Medical Clinic Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for La Libertad Medical Clinic Inc. was last updated on September 24, 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.
# La Libertad Medical Clinic Inc. · NPI 1861882946
General Practice organization in Walnut Park, California. Organization record, active in the CMS NPPES registry since January 28, 2015.
## Identity
- **NPI:** 1861882946 (Entity type: Organization)
- **Enumerated:** January 28, 2015
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** Yes (part of La Libertad Medical Clinic Inc.)
- **Authorized official:** Ricardo Chambi, DIRECTOR
## Practice location
- **Address:** 7900 PACIFIC BLVD, SUITE C THRU F, Walnut Park, CA 90255-6662
- **Phone:** (323) 277-9455 · **Fax:** (562) 943-7518
## 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:** September 24, 2016
- **Other identifiers:** Medicare PIN CB246929
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861882946) · Data from the CMS NPPES public registry.