CENTINELA MEDICAL GROUP (NPI# 1902936099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902936099 |
| Entity Type | Organization |
| Organization Name | CENTINELA MEDICAL GROUP |
| Other Organization Name | PARKLANE MEDICAL GROUP INC |
| Practice Address |
933 Centinela Ave B Inglewood CA 90302-1501 |
| Practice Telephone | 3106775090 |
| Practice Fax Number | 3106777302 |
| Mailing Telephone | 3106775090 |
| Mailing Fax Number | 3106777302 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | GEORGE CHIKELUE IFEORAH (DIRECTOR) |
| Authorized Official Telephone | 3106775090 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PARKLANE MEDICAL GROUP INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902215577 | Centinela Medical Group | General Practice | 4405 S Main St, Los Angeles, CA 90037-2731 | 2014-08-08 |
| 1043654676 | Centinela Medical Group | General Practice | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | 2013-04-25 |
| Street Address |
933 CENTINELA AVE B |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90302-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164588141 | Parklane Medical Group | Family Medicine | 933 Centinela Ave, B, Inglewood, CA 90302-1501 | 2006-12-28 |
| 1366742652 | George Ifeorah | Acupuncturist | 933 Centinela Ave, Suite B, Inglewood, CA 90302-1501 | 2010-11-02 |
| 1003948563 | Charles Albert Mattison | Dentist | 933 Centinela Ave, Inglewood, CA 90302-1501 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577531 | Justin Colwell | Social Worker | 217 W 64th Pl, Inglewood, CA 90302 | 2016-01-29 |
| 1124499348 | Caring Hearts Caretaking | Home Health | 713 N Market Street, 5, Inglewood, CA 90302 | 2015-10-14 |
| 1407270697 | Chinedu Ohaeri | Physical Therapist | 946 W. Beach Ave, Unit 1, Inglewood, CA 90302 | 2014-02-10 |
| 1700133543 | Dianna Slater | Pharmacist | 415 N. Oak St, Inglewood, CA 90302 | 2012-08-10 |
| 1487865002 | Development Specialty Projects, Inc. | Clinic/Center | 5354 W 64th St, Inglewood, CA 90302 | 2007-05-25 |
| 1487865119 | Marina Adams | Dentist | 1608 Centinela Ave, 7, Inglewood, CA 90302 | 2007-05-24 |
| 1235349804 | Development Specialty Projects, Inc. | Clinic/Center | 1415 North La Tijera Blvd, Inglewood, CA 90302 | 2007-05-23 |
| 1902022114 | Oplv, Inc. | Skilled Nursing Facility | 310 Centinela Ave., Inglewood, CA 90302 | 2007-04-17 |
| 1710073242 | Kaleka and Brar, A General Partnership | Dentist | 6818 La Cienega Blvd, #102, Inglewood, CA 90302 | 2006-10-04 |
| 1225396070 | Stepping Up Community Development Inc | Substance Abuse Rehabilitation Facility | 1712 Centinela Ave, Inglewood, CA 90302-1027 | 2012-04-30 |
| Find all providers in zip 90302 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669574802 | Horace Milano Mellon | General Practice | 915 Myrtle Ave, Inglewood, CA 90301-4007 | 2006-09-01 |
| 1699790667 | Jorge Luis Moran | General Practice | 210 S Locust St, Inglewood, CA 90301-2304 | 2006-07-12 |
| 1538439302 | Eric Jackson-scott Md Inc | General Practice | 455 N Prairie Ave, Inglewood, CA 90301-1413 | 2012-01-10 |
| 1215189071 | Clyde T. Arnold Md A Professional Corporation | General Practice | 8473 S Van Ness Ave, Suite 102, Inglewood, CA 90305-1550 | 2008-10-10 |
| 1679783559 | Adel Bashir Awad | General Practice | 1091 S La Brea Ave, Inglewood, CA 90301-3817 | 2007-05-22 |
| 1205045598 | Arnold Ellis | General Practice | 2710 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-05-22 |
| 1528270147 | Century Medical Center,a Professional Corporation | General Practice | 3451 W Century Blvd, Suite B-1, Inglewood, CA 90303-1218 | 2007-05-04 |
| 1952430209 | John William Mcneil Sr. | General Practice | 323 N Prairie Ave, Suite 425, Inglewood, CA 90301-4502 | 2007-03-04 |
| 1487795753 | Jorge L Moran Md Inc | General Practice | 210 S Locust St, Inglewood, CA 90301-2304 | 2007-02-09 |
| 1588718811 | Stanislaus Kinota | General Practice | 4450 W Century Blvd, Inglewood, CA 90304-1504 | 2007-01-23 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on CENTINELA MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.