Active NPI
Prestige Broadway Medical Center Inc
- Geriatric Medicine (Family Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1134075203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- PRESTIGE BROADWAY MEDICAL CENTER INC
- Practice address
- 2926 N Broadway
Los Angeles, CA 90031-2601 - Phone
- (213) 433-3137
- Fax
- (213) 433-3136
- NPI assigned
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maneesh Singhal, MD
- Title
- Ceo/Owner
- Phone
- (213) 433-3137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
2926 N Broadway
Los Angeles, CA 90031-2601
Mailing address
2926 N Broadway
Los Angeles, CA 90031-2601
Phone (213) 433-3137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2926 N Broadway
Los Angeles, CA 90031
Phone (213) 221-1131
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Thousand Oaks, CA
- NPI 1700017068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1134075203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2926 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312601",
"telephone_number": "213-433-3137",
"fax_number": "213-433-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312601",
"telephone_number": "213-433-3137",
"fax_number": "213-433-3136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE BROADWAY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "SINGHAL",
"authorized_official_first_name": "MANEESH",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "213-433-3137",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.