JCW Medical Centers, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G35959 Issued in CA

Legal business name

JCW MEDICAL CENTERS, INC.

Practice address

1035 S Prairie Ave Ste 1
Inglewood, CA 90301-5273

Phone

(310) 672-6500

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John C Weaver Jr., MD

Title

Owner

Phone

(310) 672-6500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1669969218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S PRAIRIE AVE STE 1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903015273",
            "telephone_number": "310-672-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S PRAIRIE AVE STE 1",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903015273",
            "telephone_number": "310-672-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCW MEDICAL CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-672-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G359590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adrian David Jenkins

• Internal Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.