DR. MICHAEL LAWRENCE GENOVA (M.D.) – Family Medicine Physician, NPI 1376579227

DR. MICHAEL LAWRENCE GENOVA (M.D.) is a healthcare provider. based in Gardena, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G076648 (CA). The NPI Number for DR. MICHAEL LAWRENCE GENOVA (M.D.) is 1376579227

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL LAWRENCE GENOVA (M.D.)
NPI
1376579227
Phone
(310) 225-2825
Address
1045 W Redondo Beach Blvd
Enumeration Date
23 June 2006
Last Update Date
15 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3106438500
Graduation Year
1991 (35 years ago)
PAC ID
3375531205
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20040430001273
Address ID
CA902601124LA5400XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

Provider Addresses for DR. MICHAEL LAWRENCE GENOVA (M.D.)

  • 1045 W Redondo Beach Blvd

    Suite 240

    Gardena, CA 902474128

    Phone: (310) 225-2825

    Type: Location

  • 1045, West Redondo Beach Boulevard, Gardena, Los Angeles County, California, 90247, United States

    SUITE 240

    GARDENA, CA 902474128

    Phone: (310) 225-2825

    Type: Mailing

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • 5400 W ROSECRANS AVE STE 100

    HAWTHORNE, CA 902506686

    Phone: (310) 643-8500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040430001273IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7458$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5252$0
G0444Annual depression screening, 5 to 15 minutes5151$0
99213Established patient office or other outpatient visit, 20-29 minutes3531$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1212$0
View full utilization report →

Insurance plans in this area (ZIP 90247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL LAWRENCE GENOVA (M.D.)?
For DR. MICHAEL LAWRENCE GENOVA (M.D.), use NPI 1376579227 as the unique 10-digit identifier.
Is DR. MICHAEL LAWRENCE GENOVA (M.D.) shown as active in public data?
Registry records indicate DR. MICHAEL LAWRENCE GENOVA (M.D.) maintains an active NPI.
What area of care is associated with DR. MICHAEL LAWRENCE GENOVA (M.D.)?
DR. MICHAEL LAWRENCE GENOVA (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL LAWRENCE GENOVA (M.D.) associated with Gardena?
Public fields place DR. MICHAEL LAWRENCE GENOVA (M.D.) around Gardena, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. MICHAEL LAWRENCE GENOVA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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