White Memorial Medical Group, Inc. - Medicare Primary Care in Los Angeles, CA

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White Memorial Medical Group, Inc. is a medicare enrolled primary clinic (Internal Medicine) in Los Angeles, California. The current practice location for White Memorial Medical Group, Inc. is 1701 E Cesar E Chavez Ave, Suite #100, Los Angeles, California. For appointments, you can reach them via phone at (323) 987-1362. The mailing address for White Memorial Medical Group, Inc. is Po Box 51741, Los Angeles, California and phone number is (323) 987-1362.

White Memorial Medical Group, Inc. is licensed to practice in California (license number A42146). The clinic also participates in the medicare program and its NPI number is 1689769374. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 987-1362.

Contact Information

White Memorial Medical Group, Inc.
1701 E Cesar E Chavez Ave
Suite #100
Los Angeles
CA 90033-2464
(323) 987-1362
(323) 987-1366

Map and Direction


Primary Care Clinic Profile

Full NameWhite Memorial Medical Group, Inc.
SpecialityInternal Medicine
Location1701 E Cesar E Chavez Ave, Los Angeles, California
Authorized Official Name and PositionAlan C.k. Lau (PRESIDENT)
Authorized Official Contact3239871362
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
White Memorial Medical Group, Inc.
Po Box 51741
Los Angeles
CA 90051-6041

Ph: (323) 987-1362		White Memorial Medical Group, Inc.
1701 E Cesar E Chavez Ave
Suite #100
Los Angeles
CA 90033-2464

Ph: (323) 987-1362

NPI Details:

NPI Number1689769374
Provider Enumeration Date10/04/2006
Last Update Date08/10/2017

Medicare PECOS Information:

Medicare PECOS PAC ID9436042967
Medicare Enrollment IDO20040206000556

Medical Identifiers

Medical identifiers for White Memorial Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689769374NPI-NPPES
GR0015740MedicaidCA
GRE001650MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A42146 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. White Memorial Medical Group, Inc. acts as a billing entity for following providers:
Provider NameAntonio Liu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518980663
PECOS PAC ID: 9436043163
Enrollment ID: I20040216001032
Provider NameAriel Malamud
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518032218
PECOS PAC ID: 8224028303
Enrollment ID: I20040512001502
Provider NameAlireza Tabesh
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356482392
PECOS PAC ID: 7113911363
Enrollment ID: I20090126000063
Provider NameJessica Meir
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1891986808
PECOS PAC ID: 8729132998
Enrollment ID: I20090822000044
Provider NameStanley K Mathis
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871516922
PECOS PAC ID: 9234023961
Enrollment ID: I20110202000120
Provider NameZahid Abdou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013938208
PECOS PAC ID: 3577457290
Enrollment ID: I20110202000155
Provider NameAlan Lau
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396768446
PECOS PAC ID: 3476446907
Enrollment ID: I20110223001134
Provider NameJuan Carlos Barrio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467475608
PECOS PAC ID: 5395941496
Enrollment ID: I20110317000664
Provider NameShaw Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043233281
PECOS PAC ID: 5294629911
Enrollment ID: I20110607000003
Provider NameVasthi Silva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588687719
PECOS PAC ID: 5193619815
Enrollment ID: I20110607000308
Provider NameJose P Ponce
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1922363431
PECOS PAC ID: 6800101973
Enrollment ID: I20150818006084
Provider NameAva Azimi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023252483
PECOS PAC ID: 8022288760
Enrollment ID: I20160310001750
Provider NameDavid Minh Lam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174996342
PECOS PAC ID: 0749552982
Enrollment ID: I20170822003877
Provider NameMaximiliano D Hyon
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1942626767
PECOS PAC ID: 5092010827
Enrollment ID: I20180315002579
Provider NameRobert Philip Arieli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245573708
PECOS PAC ID: 0840540787
Enrollment ID: I20180913002180
Provider NameJiyang Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174032999
PECOS PAC ID: 1850623828
Enrollment ID: I20191023002816
Provider NameScott M Lawler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508228115
PECOS PAC ID: 5496049090
Enrollment ID: I20191219001198
Provider NameArvind Ravinutala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316398431
PECOS PAC ID: 0244661213
Enrollment ID: I20200506001587
Provider NameRenato Sousa
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1679002455
PECOS PAC ID: 6507134475
Enrollment ID: I20200701001774

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.