Individual provider Active NPI

Ginder Marshall, M.D.

  • Rheumatology Physician
  • Inglewood, CA
National Provider Identifier
1669521076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G58889 Issued in CA
Practice address
655 E Queen St
Inglewood, CA 90301-1930
Phone
(310) 673-8372
Fax
(310) 673-3270
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G58889 CA Primary

Addresses

Primary practice location

655 E Queen St
Inglewood, CA 90301-1930

Mailing address

655 E Queen St
Inglewood, CA 90301-1930
Phone (310) 673-8372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000361 CA Practitioner - Rheumatology 5496762122 Reassigns benefits to 1 organization
Practice locations: Inglewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of California, Geffen School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

655 E Queen St
Inglewood, CA 90301-1930
Phone (310) 673-8372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G58889CAMDRheumatology Physician
58889CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ginder Marshall, M.D., a Professional Corporation Rheumatology CurrentSince Jun 10, 2005 Accepting new patients

Locations

655 E Queen St
Inglewood, CA 90301
Phone (310) 673-8372

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669521076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E QUEEN ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011930",
            "telephone_number": "310-673-8372",
            "fax_number": "310-673-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E QUEEN ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011930",
            "telephone_number": "310-673-8372",
            "fax_number": "310-673-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "GINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G58889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.