Plasmagenix Medical Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A100364 Issued in CA

Legal business name

PLASMAGENIX MEDICAL CORP

Practice address

455 N Prairie Ave
Inglewood, CA 90301-1413

Phone

(310) 412-0183

Fax

(310) 412-0015

NPI assigned

Dec 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Artencia Garrett, CMA, EMT-P

Title

Director of Operations

Phone

(323) 810-0742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1396166567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011413",
            "telephone_number": "310-412-0183",
            "fax_number": "310-412-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011413",
            "telephone_number": "310-412-0183",
            "fax_number": "310-412-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASMAGENIX MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ARTENCIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "323-810-0742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA, EMT-P"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A100364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Eunice Pisquiy
• Carolyn Pitts
• Crystal Pitts
• David Plancarte Rodriguez
• Planned Parenthood Los Angeles
• PLD Family Home Care
• Lauren Dorothy Plummer
• Keaujahne Kierra Champane Polk
• Veronika Pomyateeva
• Brian W Pond, PPS

• Multi-Specialty Clinic/Center in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.