Organization Active NPI

Ejigu Medical Services Inc

  • Critical Access Hospital
  • Lynwood, CA
National Provider Identifier
1871385476
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
EJIGU MEDICAL SERVICES INC
Practice address
3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512
Phone
(310) 537-1503
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Teshager Gashaw Ejigu, MDNPI 1548623077
Title
Internist,Pulmonologist,Intensivist
Phone
(571) 239-7049

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Pain Clinic/Center 261QP3300X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512

Mailing address

3621 Martin Luther King Jr Blvd Ste 6
Lynwood, CA 90262-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021004255 CA Part B Supplier - Clinic/Group Practice 1456866367 Receives reassigned benefits from 1 practitioner
Practice locations: Lynwood, CA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1871385476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD STE 6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD STE 6",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512",
            "telephone_number": "310-537-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJIGU MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "EJIGU",
        "authorized_official_first_name": "TESHAGER",
        "authorized_official_middle_name": "GASHAW",
        "authorized_official_title_or_position": "INTERNIST,PULMONOLOGIST,INTENSIVIST",
        "authorized_official_telephone_number": "571-239-7049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.