Active NPI
Gracie-Ann Dinkins, M.D.
- Trauma Surgery Physician
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- G77962
- Practice address
- 3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513 - Phone
- (424) 213-4290
- Fax
- (424) 213-4295
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | G77962 | CA | Primary |
| Surgery Physician | 208600000X | G77962 | CA |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513
Mailing address
3737 Martin Luther King Jr Blvd
Suite 404
Lynwood, CA 90262-3513
Phone (424) 213-4290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, Irvine, California College of Medicine, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3630 E Imperial Hwy
Lynwood, CA 90262-2636
Phone (424) 213-4290
Hospital & facility affiliations
- Martin Luther King, Jr. Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77962 | CA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracie-Ann Dinkins MD Inc | Surgery | Current | Accepting new patients |
Locations
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
3737 Martin Luther King Jr Blvd
Ste 404
Lynwood, CA 90262
Phone (310) 537-2121
11200 Long Beach Blvd
Unit 594
Lynwood, CA 90262
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- El Segundo, CA
- NPI 1710175641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1104838663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 404",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "424-213-4290",
"fax_number": "424-213-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 404",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623513",
"telephone_number": "424-213-4290",
"fax_number": "424-213-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKINS",
"first_name": "GRACIE-ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "G77962",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G77962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.