KOLVITA FAMILY MEDICAL GROUP, INC.
NPI 1932255148
Family Medicine in Mission Viejo, CA
About Kolvita Family Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOLVITA FAMILY MEDICAL GROUP, INC. (NPI 1932255148) is a healthcare organization registered as a family medicine in Mission Viejo, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Linda Marlene Bolling, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Kolvita Family Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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 Kolvita Family Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 05D1047068
Kolvita Family Medical Group · Mission Viejo, 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 Kolvita Family Medical Group, Inc.'s NPI number?
The NPI number for Kolvita Family Medical Group, Inc. is 1932255148. It was assigned to this organization in the NPPES registry on January 28, 2007.
Where is Kolvita Family Medical Group, Inc. located?
Kolvita Family Medical Group, Inc. is located at 25982 Pala Ste. 180, Mission Viejo, CA 92691. The listed phone number is (949) 600-8990.
What is Kolvita Family Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kolvita Family Medical Group, Inc. enrolled in Medicare?
Yes. Kolvita Family Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
When is Kolvita Family 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 February 28, 2027. 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 Kolvita Family Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Kolvita Family 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kolvita Family Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1047068) is associated with this NPI, valid through October 24, 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 Kolvita Family Medical Group, Inc. was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kolvita Family Medical Group, Inc. · NPI 1932255148
Family Medicine organization in Mission Viejo, California. Organization record, active in the CMS NPPES registry since January 28, 2007.
## Identity
- **NPI:** 1932255148 (Entity type: Organization)
- **Enumerated:** January 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Linda Bolling, OWNER
## Practice location
- **Address:** 25982 PALA, STE. 180, Mission Viejo, CA 92691-6719
- **Phone:** (949) 600-8990 · **Fax:** (949) 600-8998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2012
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1932255148) · Data from the CMS NPPES public registry.