Los Angeles Multispecialty Medical Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LOS ANGELES MULTISPECIALTY MEDICAL GROUP

Practice address

248 N Locust St
Inglewood, CA 90301-1258

Phone

(310) 680-1810

Fax

(310) 680-1811

NPI assigned

Jan 24, 2007

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall Whitaker Maxey, MDNPI 1700944279

Title

President

Phone

(310) 680-1810

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Randall Whitaker Maxey, MD PHD

  • Nephrology Physician
  • Inglewood, CA
  • NPI 1700944279
  NPD (past) Authorized official
• Vincent Luvern Anthony, M.D., M.P.H.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1396851903
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1528113149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83246",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900830246",
            "telephone_number": "310-680-1810",
            "fax_number": "310-680-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N LOCUST ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011258",
            "telephone_number": "310-680-1810",
            "fax_number": "310-680-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES MULTISPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WHITAKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-680-1810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C38014",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENCE",
            "identifier": "C30814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Los Angeles County Department of Mental Health (Imet)
• Los Angeles Drug Treatment Center
• Los Angeles Ophthalmology Medical Group, Inc.
• Los Angeles Peripheral Arterial Disease Center Medical Group
• Los Angeles Surgical Center
• Los Angeles Wide Community Support Services LLC (L.a. Wide CSS)
• Mark Lott, M.D.

• Nephrology Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.