Uptimum Medical Group and Ipa Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48240 Issued in CA

Legal business name

UPTIMUM MEDICAL GROUP AND IPA INC

Practice address

2220 W Manchester Blvd
Inglewood, CA 90305-2514

Phone

(310) 644-8400

NPI assigned

Jan 24, 2008

Last updated

Oct 8, 2024By 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

Dr. Olukemi Aderonke Wallace, M.D.NPI 1609804350

Title

Director

Phone

(310) 644-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Olukemi A Wallace, M.D.

  • Specialist
  • Inglewood, CA
  • NPI 1609804350
  Medicare reassignment Care Compare group Authorized official
• Robert Levin, MD

  • Hematology & Oncology Physician
  • Inglewood, CA
  • NPI 1932186467

  Medical Oncology

  Medicare reassignment Care Compare group NPD
• Denis Wadzani, FNP-C, MPH

  • Family Nurse Practitioner
  • Culver City, CA
  • NPI 1386177129
  Medicare reassignment Care Compare group NPD
• Marsha N Budhan, PA-C

  • Physician Assistant
  • Lawndale, CA
  • NPI 1174880793
  Medicare reassignment Care Compare group
• Ijeoma Ike, FNP-C, MPH

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1275066029
  Medicare reassignment NPD
• Olayinka Andrew Kamson, M.D.

  • Psychiatry Physician
  • Patton, CA
  • NPI 1689620676
  Medicare reassignment NPD
• Steven Gene Wei Wong, MD

  • Hematology & Oncology Physician
  • Santa Monica, CA
  • NPI 1275553307
  Medicare reassignment NPD

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1568649226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15342 HAWTHORNE BLVD STE 102",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602181",
            "telephone_number": "310-644-8400",
            "fax_number": "310-644-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "310-644-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15342 Hawthorne Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902602181",
            "country_code": "US",
            "telephone_number": "310-644-8400",
            "fax_number": "310-644-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPTIMUM MEDICAL GROUP AND IPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_middle_name": "ADERONKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-644-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8831128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Medical Radiology Network (United Medical Radiology Network of Inglewood)
• United States Veterans Initiative - Inglewood (U.S.VETS Inglewood)
• University Consultants Medical Group , Inc.
• Upscale Executive Transportation
• Uptimum Medical Group and Ipa Inc
• Urgent Care and Tranquil Mind Center (Serene Urgent Care & Mind Clinic)
• Karishma Chandra Vadan-Patel, PHARM.D.
• Vahedi and Khakshooy Dental Incorporation
• Soheil Vahedi, D.D.S.
• Andrea Berenise Valadez

• 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 Oct 8, 2024; 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.