Prairie Avenue Podiatry Group

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2206 Issued in CA

Legal business name

PRAIRIE AVENUE PODIATRY GROUP

Practice address

323 N Prairie Ave
Suite 320
Inglewood, CA 90301-4502

Phone

(310) 671-5800

Fax

(310) 671-5810

NPI assigned

May 1, 2017

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Stephens

Title

Secretary

Phone

(310) 671-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Joel A Ammons III, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Inglewood, CA
  • NPI 1598812786
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1275068967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE STE 320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014505",
            "telephone_number": "310-671-5800",
            "fax_number": "310-671-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "SUITE 320",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-671-5800",
            "fax_number": "310-671-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE AVENUE PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-671-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NHIC",
            "identifier": "CB277242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rickie L Porter
• Portia D Turner D D S
• Deborah Denease Posey, O.D.
• Chelsea K Poyo-Nieto, IBCLC
• Pragnesh J Dholakiya and Pooran B Dalwani (forum dental group)
• Prairie Medical Group Inc
• Julia Marie Pratt-Elkus, M.D.
• Micharri Pratts, RN
• Precautionary Home Health Services
• Precision Healthcare Services Inc

• Foot & Ankle Surgery Podiatrist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.