Marvin White, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A39975 Issued in CA

Practice address

11161 Crenshaw Blvd
Suite 210
Inglewood, CA 90303-2336

Phone

(310) 419-1067

Fax

(310) 419-1067

NPI assigned

Jul 5, 2006

Last updated

Nov 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Aldad Chiropractic, Inc.

  • Chiropractor
  • Encino, CA
  • NPI 1225075666
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321142400000",
    "number": "1336170877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 CRENSHAW BLVD",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032336",
            "telephone_number": "310-419-1067",
            "fax_number": "310-419-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 CRENSHAW BLVD",
            "address_2": "SUITE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032336",
            "telephone_number": "310-419-1067",
            "fax_number": "310-419-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A39975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Connection Los Angeles
• Jessie Wetherbe, F.N.P.
• Earnestine Bernice White
• Kayla Amil White
• La Ronci Michele White
• Floyd Wilcox
• William H. Hong, M.D., Inc
• Andrina Williams
• Davianna I Williams
• Elli Williams, CPT, RYT

• Adult Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.