Active NPI
Sherri Peace, MD, Inc
- Medical Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1407043680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- G72196
- Legal business name
- SHERRI PEACE, MD, INC
- Practice address
- 8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606 - Phone
- (310) 645-6001
- Fax
- (310) 645-5919
- NPI assigned
- Oct 1, 2007
- Last updated
- Feb 29, 2008
- 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
- Dr. Sherri Peace, MD
- Title
- President/Medical Director
- Phone
- (310) 645-6001
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | G72196 | CA | Primary |
Addresses
Primary practice location
8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606
Mailing address
8930 S Sepulveda Blvd
Suite 104
Los Angeles, CA 90045-3606
Phone (310) 645-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1962549279
-
- Physician Assistant
- Los Angeles, CA
- NPI 1861016362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1407043680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8930 S SEPULVEDA BLVD",
"address_2": "SUITE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453606",
"telephone_number": "310-645-6001",
"fax_number": "310-645-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 S SEPULVEDA BLVD",
"address_2": "SUITE 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453606",
"telephone_number": "310-645-6001",
"fax_number": "310-645-5919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERRI PEACE, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "PEACE",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-645-6001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "G72196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.