INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
NPI 1972624955
Internal Medicine - Adolescent Medicine in Panorama City, CA
About Innovative Medical Solutions Inc A Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP (NPI 1972624955) is a healthcare organization registered as an adolescent medicine in Panorama City, California and active in the NPI registry since April 2007. The organization holds 3 active CLIA laboratory certificates and lists Glenn A Marshak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Innovative Medical Solutions Inc A Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
94Medicare enrollment records show 94 clinicians reassign Medicare billing to Innovative Medical Solutions Inc A Medical Group, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 94Source: 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 4
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 05D2267988
Innovative Medical Solutions · Panorama City, CACertificate of Waiver 05D2267989
Innovative Medical Solutions · Los Angeles, CACertificate of Waiver 05D2267990
Innovative Medical Solutions · Los Angeles, CACertificate of Waiver 05D2269612
Innovative Medical Solutions · Los Angeles, 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 Innovative Medical Solutions Inc A Medical Group's NPI number?
The NPI number for Innovative Medical Solutions Inc A Medical Group is 1972624955. It was assigned to this organization in the NPPES registry on April 3, 2007.
Where is Innovative Medical Solutions Inc A Medical Group located?
Innovative Medical Solutions Inc A Medical Group is located at 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402. The listed phone number is (310) 553-5203.
What is Innovative Medical Solutions Inc A Medical Group's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.
Is Innovative Medical Solutions Inc A Medical Group enrolled in Medicare?
Yes. Innovative Medical Solutions Inc A Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Medical Solutions Inc A Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 28 Medicare specialties reassign their Medicare billing to Innovative Medical Solutions Inc A Medical Group. 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. The largest specialties are Internal Medicine (16), Family Practice (13) and Nurse Practitioner (13). Of these, 9 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovative Medical Solutions Inc A Medical Group hold CLIA laboratory certificates?
Yes. 3 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 Innovative Medical Solutions Inc A Medical Group was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Innovative Medical Solutions Inc A Medical Group · NPI 1972624955
Adolescent Medicine organization in Panorama City, California. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1972624955 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Internal Medicine - Adolescent Medicine · taxonomy 207RA0000X
- **Organization subpart:** No
- **Authorized official:** Glenn Marshak, OWNER
## Practice location
- **Address:** 14860 ROSCOE BLVD STE 200, Panorama City, CA 91402-4683
- **Phone:** (310) 553-5203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 94 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (16), Family Practice (13), Nurse Practitioner (13); 9 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1972624955/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972624955) · Data from the CMS NPPES public registry.