BOLSA MEDICAL GROUP
NPI 1992732192
Surgery in Westminster, CA
About Bolsa Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLSA MEDICAL GROUP (NPI 1992732192) is a healthcare organization registered as a surgery in Westminster, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Co D C Pham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 1
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)
Bolsa Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Bolsa Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
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 05D0891062
Bolsa Medical Group · Westminster, CAPatient Reviews User submitted
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Review by FABIOLA ***** June 5, 2025
5/5Frequently 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 Bolsa Medical Group's NPI number?
The NPI number for Bolsa Medical Group is 1992732192. It was assigned to this organization in the NPPES registry on June 26, 2006.
Where is Bolsa Medical Group located?
Bolsa Medical Group is located at 10362 Bolsa Ave, Westminster, CA 92683. The listed phone number is (714) 531-2091.
What is Bolsa Medical Group's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Bolsa Medical Group enrolled in Medicare?
Yes. Bolsa Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bolsa Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Bolsa 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 Family Practice (8), Internal Medicine (6) and Obstetrics/Gynecology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bolsa Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0891062) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bolsa Medical Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.