Organization Active NPI

James H Peace MD Inc

Doing business as Diabetic Eye Medical Clinic

  • Ophthalmologic Surgery Clinic/Center
  • Inglewood, CA
National Provider Identifier
1164503694
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
JAMES H PEACE MD INC
Doing business as
Diabetic Eye Medical Clinic
Practice address
431 N Prairie Ave
Inglewood, CA 90301-1413
Phone
(310) 671-7172
Fax
(310) 673-0682
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. James Harmon Peace II, M.D.NPI 1497836423
Title
President
Phone
(310) 671-7172

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)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

431 N Prairie Ave
Inglewood, CA 90301-1413

Mailing address

431 N Prairie Ave
Inglewood, CA 90301-1413
Phone (310) 671-7172

Other names 1

  • Diabetic Eye Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070510000527 CA Part B Supplier - Clinic/Group Practice 7416053251 Receives reassigned benefits from 1 practitioner
Practice locations: Inglewood, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

431 N Prairie Ave
Inglewood, CA 90301

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1164503694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011413",
            "telephone_number": "310-671-7172",
            "fax_number": "310-673-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011413",
            "telephone_number": "310-671-7172",
            "fax_number": "310-673-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H PEACE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-671-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Eye Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.

Verify at the official NPI Registry.