Individual provider Active NPI

Sonali Prakash Kulkarni, M.D.

  • Internal Medicine Physician
  • Inglewood, CA
National Provider Identifier
1285839779
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A95238 Issued in CA
Practice address
123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone
(310) 419-5325
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95238 CA Primary

Addresses

Primary practice location

123 W Manchester Blvd
Inglewood, CA 90301-1753

Mailing address

911 Broxton Ave FL 3
Los Angeles, CA 90024-2801
Phone (424) 832-3622

Other identifiers 1

IdentifierTypeStateIssuer
00A952380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000483 CA Practitioner - Internal Medicine 5496846842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

123 W Manchester Blvd
Inglewood, CA 90301-1753
Phone (310) 419-5325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95238CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health CurrentSince Dec 15, 2023 Accepting new patients

Locations

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

241 N Figueroa St
Los Angeles, CA 90012
Phone (213) 240-8204

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1285839779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BROXTON AVE FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242801",
            "telephone_number": "424-832-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011753",
            "telephone_number": "310-419-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "SONALI",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A952380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.