Organization Active NPI

Paradigm Vision Care Medical Associates

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1780606673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PARADIGM VISION CARE MEDICAL ASSOCIATES
Practice address
10300 Compton Ave
Los Angeles, CA 90002-3628
Phone
(310) 673-2020
Fax
(310) 671-6785
NPI assigned
Jul 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Willie Benton Boone, M.D.NPI 1942236542
Title
President
Phone
(310) 673-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

10300 Compton Ave
Los Angeles, CA 90002-3628

Mailing address

301 N Prairie Ave
Suite 601
Inglewood, CA 90301-4507
Phone (310) 673-2020

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Vision Care Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780606673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE",
            "address_2": "SUITE 601",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014507",
            "telephone_number": "310-673-2020",
            "fax_number": "310-671-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023628",
            "telephone_number": "310-673-2020",
            "fax_number": "310-671-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM VISION CARE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-673-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "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 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.