NPIMap

Organization Active NPI

Progressive Medical Group

  • Internal Medicine Physician
  • Inglewood, CA
National Provider Identifier
1609086727
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G35959 Issued in CA
Legal business name
PROGRESSIVE MEDICAL GROUP
Practice address
1035 S Prairie Ave
Ste. 1
Inglewood, CA 90301-5272
Phone
(310) 672-6500
Fax
(310) 672-6781
NPI assigned
May 24, 2007
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. John C. Weaver, M.D.
Title
M.D.
Phone
(310) 672-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G35959 CA Primary

Addresses

Primary practice location

1035 S Prairie Ave
Ste. 1
Inglewood, CA 90301-5272

Mailing address

1035 S Prairie Ave
Ste. 1
Inglewood, CA 90301-5272
Phone (310) 672-6500

National Provider Directory

National Provider Directory
Part of
Progressive Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1609086727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S PRAIRIE AVE",
            "address_2": "STE. 1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903015272",
            "telephone_number": "310-672-6500",
            "fax_number": "310-672-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S PRAIRIE AVE",
            "address_2": "STE. 1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903015272",
            "telephone_number": "310-672-6500",
            "fax_number": "310-672-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-672-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.