NPIMap

Individual provider Active NPI

Edgar Allan Musngi, M.D.

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1871523563
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A54118 Issued in CA
Practice address
2841 Lomita Blvd Ste 215
Torrance, CA 90505-5111
Phone
(310) 379-2860
Fax
(310) 325-1144
NPI assigned
Jul 5, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A54118 CA Primary

Addresses

Primary practice location

2841 Lomita Blvd Ste 215
Torrance, CA 90505-5111

Mailing address

2841 Lomita Blvd Ste 215
Torrance, CA 90505-5111
Phone (310) 379-2860

Other practice location 1

4644 Lincoln Blvd Ste 540
Marina Del Rey, CA 90292-6391
Phone (310) 301-0015

Other identifiers 2

IdentifierTypeStateIssuer
A54118OtherCAMEDICAL LICENSE
00A541180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000644 CA Practitioner - NephrologyPractitioner - Internal Medicine 3173546991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Nephrology Med. Group Inc.Group PAC ID 3173681400, 7 clinicians
California Kidney Medical Group IncGroup PAC ID 2769396357, 5 clinicians

Practice addresses (Care Compare)

3291 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 325-4517

6801 Park Ter
Suite 530B
Los Angeles, CA 90045-1543
Phone (310) 301-0015

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54118CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Nephrology Med. Group Inc. Nephrology CurrentSince Dec 1, 2010 Accepting new patients
California Kidney Medical Group Inc CurrentSince Apr 1, 2012 Accepting new patients
California Kidney Medical Group, Inc Nephrology CurrentSince Apr 1, 2012 Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

6801 Park Ter
Ste 530
Los Angeles, CA 90045

6801 Park Ter
Ste 530B
Los Angeles, CA 90045
Phone (310) 301-0015

4644 Lincoln Blvd
Ste 540
Marina del Rey, CA 90292
Phone (310) 301-0015

18546 Roscoe Blvd
Ste 125
Northridge, CA 91324
Phone (818) 718-2301

14860 Roscoe Blvd
Ste 303
Panorama City, CA 91402
Phone (818) 376-4074

375 Rolling Oaks Dr
Ste 100
Thousand Oaks, CA 91361
Phone (805) 497-7775

2841 Lomita Blvd
Ste 215
Torrance, CA 90505
Phone (310) 379-2860

3291 Skypark Dr
Torrance, CA 90505
Phone (213) 325-4517

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eam108pcs@m566.primeclinicalsystems.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871523563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055111",
            "telephone_number": "310-379-2860",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055111",
            "telephone_number": "310-379-2860",
            "fax_number": "310-325-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4644 Lincoln Blvd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926391",
            "country_code": "US",
            "telephone_number": "310-301-0015",
            "fax_number": "310-301-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSNGI",
        "first_name": "EDGAR",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A54118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A54118",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A541180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.