First Integrated Care Medical Group Inc
NPI 1720077852ActiveOrganization· Family Medicine· Long Beach, CA
Family Medicine in Long Beach, California, registered in NPPES in October 2005. The authorized official on file is Elnora T. Tabila, RN, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720077852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2005 |
| Last updated in NPPES | Mar 5, 2021 |
| Certified by provider | Mar 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A38544 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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