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CLINICA MEDICA LATINA, INC
NPI 1922582592
Family Medicine in Moreno Valley, CA

Active since September 19, 2018CLIA 05D1014372 · Waiver
24805 ALESSANDRO BLVD STE 8, MORENO VALLEY, CA 92553(951) 601-6618(951) 247-6218 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinica Medica Latina, Inc NPPES

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

CLINICA MEDICA LATINA, INC (NPI 1922582592) is a healthcare organization registered as a family medicine in Moreno Valley, California and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Lorenzo Moises Vazquez, Ceo / Owner, as its authorized official.

NPPES Registry Identity

NPI1922582592
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA MEDICA LATINA, INC
Location Address24805 ALESSANDRO BLVD STE 8Moreno Valley, CA 92553-6101
Mailing Address24805 Alessandro Blvd Ste 8Moreno Valley, CA 92553-6101 · (951) 601-6618 · Fax (951) 247-6218
Phone(951) 601-6618
Fax(951) 247-6218
Organization SubpartNo
Authorized OfficialLorenzo Moises VazquezCeo / Owner · (951) 601-6618
Enumeration DateSeptember 19, 2018
✔ NPI 1922582592 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.
24805 ALESSANDRO BLVD STE 8, Moreno Valley, CA 92553
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Other Identifiers 1

OtherA70384CA · Professional 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)

Clinica Medica Latina, 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 Clinica Medica Latina, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lorenzo Vazquez, MD
Family Practice
NPI 1760521322
1840 N HACIENDA BLVD STE 10
La Puente, CA 91744
(626) 931-6618
✔ PECOS✔ Accepts Medicare42 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 05D1014372

Clinica Medica Latina Inc · Moreno Valley, CA
Active · expires Jul 1, 2027
CLIA Number05D1014372
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorLorenzo M. Vazquez MD
Laboratory Phone(951) 601-6618
Laboratory LocationClinica Medica Latina Inc24805 Alessandro Blvd, Suite 8, Moreno Valley, CA 92553
CLIA data matches this NPI record on: Address 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 Clinica Medica Latina, Inc's NPI number?

The NPI number for Clinica Medica Latina, Inc is 1922582592. It was assigned to this organization in the NPPES registry on September 19, 2018.

Where is Clinica Medica Latina, Inc located?

Clinica Medica Latina, Inc is located at 24805 Alessandro Blvd Ste 8, Moreno Valley, CA 92553. The listed phone number is (951) 601-6618.

What is Clinica Medica Latina, Inc's specialty?

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

Is Clinica Medica Latina, Inc enrolled in Medicare?

Yes. Clinica Medica Latina, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Medica Latina, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clinica Medica Latina, 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 Clinica Medica Latina, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1014372) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Medica Latina, Inc was last updated on September 19, 2018. 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.