Active NPI
Janet Medical Clinic, Inc
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1790824886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JANET MEDICAL CLINIC, INC
- Practice address
- 1776 W Adams Blvd
Suite B
Los Angeles, CA 90018-2704 - Phone
- (323) 732-4224
- Fax
- (323) 732-4234
- NPI assigned
- Feb 5, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chinyere Alice Nyenke, M.D.
- Title
- Medical Director
- Phone
- (323) 732-4224
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1776 W Adams Blvd
Suite B
Los Angeles, CA 90018-2704
Mailing address
1776 W Adams Blvd
Suite B
Los Angeles, CA 90018-2704
Phone (323) 732-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0468736 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1776 W Adams Blvd
#B
Los Angeles, CA 90018
Phone (323) 732-4224
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1992759534
-
- Nurse Practitioner
- Los Angeles, CA
- NPI 1588689616
-
- Neurology Physician
- Barstow, CA
- NPI 1932118262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790824886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 W ADAMS BLVD",
"address_2": "SUITE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900182704",
"telephone_number": "323-732-4224",
"fax_number": "323-732-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 W ADAMS BLVD",
"address_2": "SUITE B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900182704",
"telephone_number": "323-732-4224",
"fax_number": "323-732-4234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET MEDICAL CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NYENKE",
"authorized_official_first_name": "CHINYERE",
"authorized_official_middle_name": "ALICE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "323-732-4224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0468736",
"state": "CA"
}
],
"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.