Active NPI
Hollywood Cross Medical Clinic
- Health Service Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- HOLLYWOOD CROSS MEDICAL CLINIC
- Practice address
- 1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1088 - Phone
- (323) 463-6881
- Fax
- (323) 463-6831
- NPI assigned
- Jul 1, 2006
- Last updated
- Aug 22, 2020
- 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
- Magdi Riad Gindi, MD
- Title
- President
- Phone
- (323) 463-6881
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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1088
Mailing address
1110 N Western Ave
Suite 201
Los Angeles, CA 90029-1088
Phone (323) 463-6881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ83783Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0865508 | Hollywood Cross Medical Clinic, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1110 N Western Ave
Ste 201
Los Angeles, CA 90029
Phone (323) 463-6881
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1700821329
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1346278124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649209743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N WESTERN AVE",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291088",
"telephone_number": "323-463-6881",
"fax_number": "323-463-6831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N WESTERN AVE",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291088",
"telephone_number": "323-463-6881",
"fax_number": "323-463-6831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLYWOOD CROSS MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GINDI",
"authorized_official_first_name": "MAGDI",
"authorized_official_middle_name": "RIAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-463-6881",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ83783Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Hollycare Hospice, Inc.
- Sarah Hollyfield
- Hollywood 4WRD
- Hollywood Acceptance LLC
- Hollywood Adult Day Health Care Inc Dba Daylight-Hollywood Adult Day Health Care Center
- Hollywood Diagnostic Service
- Hollywood Elderly Care, Inc. (Hollywood Royale Gardens)
- Hollywood Emergency Physicians
- Hollywood Energy Medicine Inc
- Hollywood Family Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.