Prairie Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

05529709 Issued in CA

Legal business name

PRAIRIE MEDICAL GROUP INC

Practice address

323 N. Prairie Ave
Suite 460
Inglewood, CA 90301

Phone

(310) 674-9010

Fax

(310) 677-5072

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher C Chidi, MD

Title

President

Phone

(310) 214-8677

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard L Ross, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1144274911
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407902240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT NO 2834",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90084",
            "telephone_number": "310-214-8677",
            "fax_number": "310-921-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N. PRAIRIE AVE",
            "address_2": "SUITE 460",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-674-9010",
            "fax_number": "310-677-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIDI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-214-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "05529709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portia D Turner D D S
• Deborah Denease Posey, O.D.
• Chelsea K Poyo-Nieto, IBCLC
• Pragnesh J Dholakiya and Pooran B Dalwani
• Prairie Avenue Podiatry Group
• Julia Marie Pratt-Elkus, M.D.
• Micharri Pratts, RN
• Precautionary Home Health Services
• Precision Healthcare Services Inc
• Precision Personal Care Services

• Specialist in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.