Crenshaw Family Medical Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CRENSHAW FAMILY MEDICAL CENTER, INC

Practice address

4249 1/2 Crenshaw Blvd
Los Angeles, CA 90008-2536

Phone

(323) 299-7508

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mone Sandhu, M.D.

Title

President

Phone

(323) 299-7508

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Cude, D.P.M.

  • Podiatrist
  • Los Angeles, CA
  • NPI 1255366530
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700819448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 1/2 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082536",
            "telephone_number": "323-299-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 1/2 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082536",
            "telephone_number": "323-299-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW FAMILY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "MONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-299-7508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crenshaw Arf LLC
• Crenshaw Blvd Imaging Center, Inc.
• Crenshaw Community Center LLC
• Crenshaw Dental Group
• Crenshaw Entrepreneurial Academy
• Crenshaw Nursing Home LLC
• Crenshaw Pharmacy Inc
• Crenshaw Pharmcare Inc
• Crenshaw West Adams Leimert Consortiem
• Kaira Crenshaw, OTR/L

• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.