Gracie-Ann Dinkins MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GRACIE-ANN DINKINS MD INC

Practice address

222 N Pacific Coast Hwy # 12-116
El Segundo, CA 90245-5648

Phone

(424) 213-4290

Fax

(310) 667-5145

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Deanna Love

Title

Manager

Phone

(424) 213-4290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Gracie-Ann Dinkins, M.D.

  • Trauma Surgery Physician
  • Lynwood, CA
  • NPI 1104838663
  Medicare reassignment NPD

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1710175641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 LONG BEACH BLVD #594",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "424-213-4290",
            "fax_number": "310-667-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY # 12-116",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455648",
            "telephone_number": "424-213-4290",
            "fax_number": "310-667-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIE-ANN DINKINS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "424-213-4290"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delicia Gore
• Andrea Gorelick
• Nicole Gorostiza
• Jaeden Gortler
• Juanita Gougis
• Rachel Gradstein, MFT-INTERN
• Megan Graham
• Danielle Gran, N.D.
• Sophia Grande
• Joshua Grant

• Surgery Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.