Active NPI
Uptimum Medical Group and Ipa Inc
- Non-Pharmacy Dispensing Site
- Inglewood, CA
National Provider Identifier
1285452771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- UPTIMUM MEDICAL GROUP AND IPA INC
- Practice address
- 2220 W Manchester Blvd
Inglewood, CA 90305-2514 - Phone
- (310) 644-8400
- Fax
- (310) 644-8424
- NPI assigned
- Oct 2, 2024
- Last updated
- Oct 2, 2024
- 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
- Olukemi A Wallace, MD
- Title
- Director
- Phone
- (310) 644-8400
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 |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | NU | Primary |
Addresses
Primary practice location
2220 W Manchester Blvd
Inglewood, CA 90305-2514
Mailing address
2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone (310) 644-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8831128 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Uptimum Care Medical Group Ipa Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Lawndale, CA
- NPI 1780026328
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.
-
- Specialist
- Inglewood, CA
- NPI 1609804350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1285452771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 W MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903052514",
"telephone_number": "310-644-8400",
"fax_number": "310-644-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 W MANCHESTER BLVD",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903052514",
"telephone_number": "310-644-8400",
"fax_number": "310-644-8424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTIMUM MEDICAL GROUP AND IPA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "OLUKEMI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-644-8400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8831128",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
- United Medical Imaging Healthcare, Inc. (United Medical Imaging of Inglewood)
- United Medical Radiology Network (United Medical Radiology Network of Inglewood)
- United States Veterans Initiative - Inglewood (U.S.VETS Inglewood)
- University Consultants Medical Group , Inc.
- Upscale Executive Transportation
- Uptimum Medical Group and Ipa Inc
- Urgent Care and Tranquil Mind Center (Serene Urgent Care & Mind Clinic)
- Karishma Chandra Vadan-Patel, PHARM.D.
- Vahedi and Khakshooy Dental Incorporation
- Soheil Vahedi, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.