Organization Active NPI

Next Door Med Net Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1497258263
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEXT DOOR MED NET INC.
Practice address
5832 S Vermont Ave
Los Angeles, CA 90044-3712
Phone
(323) 750-7354
Fax
(323) 750-7446
NPI assigned
Mar 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Nicholas A Rogers, MDNPI 1124203583
Title
Medical Director
Phone
(323) 750-7354

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5832 S Vermont Ave
Los Angeles, CA 90044-3712

Mailing address

5832 S Vermont Ave
Los Angeles, CA 90044-3712
Phone (323) 750-7354

Other names 1

  • Next Door Community Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603002643 CA Part B Supplier - Clinic/Group Practice 7416499793 Receives reassigned benefits from 6 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0954506Next Door Med Net Inc5832 S Vermont Ave, Los Angeles, CA 90044Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

5832 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 750-7354

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1497258263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443712",
            "telephone_number": "323-750-7354",
            "fax_number": "323-750-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443712",
            "telephone_number": "323-750-7354",
            "fax_number": "323-750-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT DOOR MED NET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-750-7354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Door Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.