Organization Active NPI

Prime Link Medical Specialty Group Inc.

  • Urgent Care Clinic/Center
  • Hawaiian Gardens, CA
National Provider Identifier
1861338840
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRIME LINK MEDICAL SPECIALTY GROUP INC.
Practice address
21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605
Phone
(562) 860-2442
Fax
(562) 584-9015
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Leebella Mandap, NP-C
Title
Secretary
Phone
(916) 897-7321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605

Mailing address

21500 Pioneer Blvd Ste 209
Hawaiian Gardens, CA 90716-2605
Phone (562) 860-2442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1861338840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 PIONEER BLVD STE 209",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162605",
            "telephone_number": "562-860-2442",
            "fax_number": "562-584-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 PIONEER BLVD STE 209",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162605",
            "telephone_number": "562-860-2442",
            "fax_number": "562-584-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME LINK MEDICAL SPECIALTY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MANDAP",
        "authorized_official_first_name": "LEEBELLA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "916-897-7321",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.