Inglewood Family Medical Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A61290 Issued in CA

Legal business name

INGLEWOOD FAMILY MEDICAL CLINIC CORP

Doing business as

Inglewood Family Medical Clinic

Practice address

3215 W Imperial Hwy
Inglewood, CA 90303-2810

Phone

(310) 677-3595

Fax

(310) 355-8373

NPI assigned

May 19, 2010

Last updated

May 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin Deanna Riley-Garner, PANPI 1689712242

Title

Sec/Tres

Phone

(310) 677-3595

Specialties & licenses 2

Addresses

Other names 1

• INGLEWOOD FAMILY MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Deanna Riley-Garner, PA

  • Medical Physician Assistant
  • Inglewood, CA
  • NPI 1689712242
  Medicare reassignment Authorized official
• Marlon Farley, MD

  • Legal Medicine
  • Compton, CA
  • NPI 1750325098
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1073832887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 W IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032810",
            "telephone_number": "310-677-3595",
            "fax_number": "310-355-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W IMPERIAL HWY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032810",
            "telephone_number": "310-677-3595",
            "fax_number": "310-355-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLEWOOD FAMILY MEDICAL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "RILEY-GARNER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DEANNA",
        "authorized_official_title_or_position": "SEC/TRES",
        "authorized_official_telephone_number": "310-677-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14869",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INGLEWOOD FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Ifeorah, LAC
• Satoshi Ikeda, PA
• Im Possible Youth Foundation
• Imperial Dental Center Corp.
• Infocybe Technologies, LLC
• Inglewood Imaging Center LLC
• Inglewood Operating Company LP (Inglewood Healthcare Center)
• Inglewood Physical Therapy Inc.
• Inglewood Post Acute Care LLC
• Inglewood Unified School District

• Family Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.