Active NPI
UC Family Medicine Center Inc.
- Family Medicine Physician
- Gardena, CA
National Provider Identifier
1598095960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A105496
- Legal business name
- UC FAMILY MEDICINE CENTER INC.
- Practice address
- 15425 Crenshaw Blvd
Gardena, CA 90249-4523 - Phone
- (310) 355-1445
- NPI assigned
- Jan 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uche Austine Chukwudi, M.D.
- Title
- President and Medical Director
- Phone
- (310) 355-1445
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A105496 | CA | Primary |
Addresses
Primary practice location
15425 Crenshaw Blvd
Gardena, CA 90249-4523
Mailing address
15425 Crenshaw Blvd
Gardena, CA 90249-4523
Phone (310) 355-1445
National Provider Directory
National Provider DirectoryLocations
15425 Crenshaw Blvd
Gardena, CA 90249
Phone (213) 595-6224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Gardena, CA
- NPI 1417192063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1598095960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15425 CRENSHAW BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494523",
"telephone_number": "310-355-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15425 CRENSHAW BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494523",
"telephone_number": "310-355-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC FAMILY MEDICINE CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "CHUKWUDI",
"authorized_official_first_name": "UCHE",
"authorized_official_middle_name": "AUSTINE",
"authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-355-1445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A105496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.