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MENSA FAMILY CLINIC INC
NPI 1871050559
Family Medicine in Glendale, CA

Active since February 28, 2019
1110 S GLENDALE AVE STE E, GLENDALE, CA 91205(818) 945-5502(818) 945-5595 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mensa Family Clinic Inc NPPES

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

MENSA FAMILY CLINIC INC (NPI 1871050559) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since February 2019. The organization lists Svetlana Viktorovna Gorelikova, President, as its authorized official.

NPPES Registry Identity

NPI1871050559
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMENSA FAMILY CLINIC INC
Location Address1110 S GLENDALE AVE STE EGlendale, CA 91205-5623
Mailing Address1110 S Glendale Ave Ste EGlendale, CA 91205-5623 · (818) 945-5502 · Fax (818) 945-5595
Phone(818) 945-5502
Fax(818) 945-5595
Organization SubpartNo
Authorized OfficialSvetlana Viktorovna GorelikovaPresident · (818) 945-5502
Enumeration DateFebruary 28, 2019
✔ NPI 1871050559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1110 S GLENDALE AVE STE E, Glendale, CA 91205
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Other Identifiers 1

OtherA102339CA · License

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)

Mensa Family Clinic 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 Mensa Family Clinic Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Bernadette Guia, N.P.
Nurse Practitioner
NPI 1376911131
8215 VAN NUYS BLVD SUITE 210
Panorama City, CA 91402
(818) 901-0373
✔ PECOS✔ Accepts Medicare13 mi
Svetlana Gorelikova, M.D.
Internal Medicine
NPI 1699953604
38780 TRADE CENTER DR # 1C
Palmdale, CA 93551
(661) 947-5600
✔ PECOS✔ Accepts Medicare32 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 Mensa Family Clinic Inc's NPI number?

The NPI number for Mensa Family Clinic Inc is 1871050559. It was assigned to this organization in the NPPES registry on February 28, 2019.

Where is Mensa Family Clinic Inc located?

Mensa Family Clinic Inc is located at 1110 S Glendale Ave Ste E, Glendale, CA 91205. The listed phone number is (818) 945-5502.

What is Mensa Family Clinic Inc's specialty?

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

Is Mensa Family Clinic Inc enrolled in Medicare?

Yes. Mensa Family Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mensa Family Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mensa Family Clinic Inc, in Internal Medicine 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.

When was this NPI record last updated?

The NPPES record for Mensa Family Clinic Inc was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.