Organization Active NPI

Bimini Partners LLC

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1740952142
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
BIMINI PARTNERS LLC
Practice address
3127 Corinth Ave
Los Angeles, CA 90066-1403
Phone
(646) 831-8798
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Darryl E Wash
Title
Owner
Phone
(646) 831-8798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

3127 Corinth Ave
Los Angeles, CA 90066-1403

Mailing address

3127 Corinth Ave
Los Angeles, CA 90066-1403
Phone (646) 831-8798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1740952142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 CORINTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661403",
            "telephone_number": "646-831-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 CORINTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661403",
            "telephone_number": "646-831-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIMINI PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-831-8798"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.