SFS Medical Group, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SFS MEDICAL GROUP, INC

Practice address

8611 Crenshaw Blvd Ste 210
Inglewood, CA 90305-3306

Phone

(310) 910-8372

Fax

(310) 672-2280

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Fidelia Nnachetam, NPNPI 1992156962

Title

Owner

Phone

(310) 910-8372

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Fidelia Onyebuchi Nnachetam

  • Family Nurse Practitioner
  • Inglewood, CA
  • NPI 1992156962

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Terry Agba, NP

  • Family Nurse Practitioner
  • Santa Ana, CA
  • NPI 1518067081
  Medicare reassignment Care Compare group NPD
• Ronald Irving Jacoby, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1346269669

  CA

  Medicare reassignment Care Compare group NPD
• Rodney Daniel Collins, MD

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1700879061
  Medicare reassignment NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1487318135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 S NOBEL WAY",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051881",
            "telephone_number": "310-910-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 CRENSHAW BLVD STE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903053306",
            "telephone_number": "310-910-8372",
            "fax_number": "310-672-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SFS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "NNACHETAM",
        "authorized_official_first_name": "FIDELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-910-8372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Alexis Segura, LCSW
• Nancy M Sekizawa, CADC-CAS
• Angela Marie Sellers, M.S.
• Seneca Family of Agencies (Los Angeles County ISFC)
• Serenity Home Health
• Shaddai Home Care Services LLC
• Shahnaz Keramati M D Inc
• Katherine Shakir, M.S.W.
• Fatema Arif Shamim, M.D.
• Danielle Denise Sharber

• Psychiatric/Mental Health Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.

Verify at the official NPI Registry.