KOLVITA FAMILY MEDICAL GROUP, INC.
NPI 1932255148
Family Medicine in Mission Viejo, CA

Active since January 28, 2007CLIA 05D1047068 · Waiver
25982 PALA, STE. 180, MISSION VIEJO, CA 92691(949) 600-8990(949) 600-8998 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1932255148
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOLVITA FAMILY MEDICAL GROUP, INC.
Location Address25982 PALA, STE. 180Mission Viejo, CA 92691-6719
Mailing Address25982 Pala, Ste. 180Mission Viejo, CA 92691-6719 · (949) 600-8990 · Fax (949) 600-8998
Fax(949) 600-8998
Organization SubpartNo
Authorized OfficialLinda Marlene BollingOwner · (949) 600-8990
Enumeration DateJanuary 28, 2007
Last NPPES UpdateSeptember 28, 2012
NPI 1932255148 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 · A74559
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.
25982 PALA, Mission Viejo, CA 92691

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

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, CA
Active · expires Oct 24, 2027
CLIA Number05D1047068
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorLinda M. Bolling, MD
Laboratory Phone(949) 600-8990
Laboratory LocationKolvita Family Medical Group25982 Pala Dr, Suite 180, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
25982 PALA, SUITE 230
MISSION VIEJO, CA 92691
Optometrist
25982 PALA, STE 270
MISSION VIEJO, CA 92691
Dietitian, Registered
25982 PALA, SUITE 140
MISSION VIEJO, CA 92691
Clinic/Center (Ambulatory Surgical)
25982 PALA, SUITE#280
MISSION VIEJO, CA 92691
Internal Medicine
25982 PALA, SUITE 250
MISSION VIEJO, CA 92691
Dentist (General Practice)
25982 PALA, SUITE 210
MISSION VIEJO, CA 92691
Internal Medicine
25982 PALA, SUITE 250
MISSION VIEJO, CA 92691
Dentist (General Practice)
25982 PALA, SUITE 200
MISSION VIEJO, CA 92691

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 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.

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 13 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.