Active NPI
Donald Warren Inadomi, M.D.
- Nephrology Physician
- Torrance, CA
National Provider Identifier
1154429314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G42789
- Practice address
- 20911 Earl St
Suite 320
Torrance, CA 90503-4352 - Phone
- (310) 542-7997
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G42789 | CA | Primary |
Addresses
Primary practice location
20911 Earl St
Suite 320
Torrance, CA 90503-4352
Mailing address
20911 Earl St
Suite 320
Torrance, CA 90503-4352
Phone (310) 542-7997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G427891 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42789 | CA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1154429314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "SUITE 320",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-542-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "SUITE 320",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-542-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INADOMI",
"first_name": "DONALD",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G42789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G427891",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.