Organization Active NPI

Randall Maxey, MD, Corp

  • Non-Pharmacy Dispensing Site
  • Inglewood, CA
National Provider Identifier
1205141983
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
RANDALL MAXEY, MD, CORP
Practice address
323 N Prairie Ave
Ste 417
Inglewood, CA 90301-4502
Phone
(310) 680-1810
NPI assigned
Aug 18, 2010
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
RANDALL MAXEY, MD, CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Randall Maxey, MDNPI 1700944279
Title
President
Phone
(310) 680-1810

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

323 N Prairie Ave
Ste 417
Inglewood, CA 90301-4502

Mailing address

2980 N Beverly Glen Cir
Ste 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Randall Maxey MD Corp

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": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1205141983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "STE 417",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-680-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL MAXEY, MD, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDALL MAXEY, MD, CORP",
        "enumeration_date": "2010-08-18",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-680-1810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.