Central Neighborhood Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A21064 Issued in CA

Legal business name

CENTRAL NEIGHBORHOOD MEDICAL GROUP, INC.

Practice address

2707 S Central Ave
Los Angeles, CA 90011-5527

Phone

(323) 234-5000

Fax

(323) 231-3985

NPI assigned

Feb 2, 2007

Last updated

May 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bassett H.L. Brown, M.D

Title

President

Phone

(323) 234-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Neighborhood Medical Group Inc2 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.

• Central Neighborhood Medical Group, Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1083837744
  NPD tax ID

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1841338688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115527",
            "telephone_number": "323-234-5000",
            "fax_number": "323-231-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115527",
            "telephone_number": "323-234-5000",
            "fax_number": "323-231-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEIGHBORHOOD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BASSETT",
        "authorized_official_middle_name": "H.L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-234-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A21064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841338688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation
• Central Neighborhood Health Foundation - Fontana
• Central Neighborhood Medical Group, Inc.
• Central Nurses Directory, Inc.
• Central Star Behavioral Health, Inc.
• Centre of Positive Essentials, Inc
• Centrelake Medical Group Inc (Westwood Open MRI)
• Centro de Cuidado Renal-Ela, LLC

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.