Organization Active NPI

Veridian Medical Group Inc

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1922968023
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VERIDIAN MEDICAL GROUP INC
Practice address
21221 S Western Ave Ste 155
Torrance, CA 90501-2983
Phone
(310) 533-1131
Fax
(310) 533-1441
NPI assigned
Nov 12, 2025
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Mr. Jehn Demafelix
Title
Agent
Phone
(310) 533-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

21221 S Western Ave Ste 155
Torrance, CA 90501-2983

Mailing address

21221 S Western Ave Ste 155
Torrance, CA 90501-2983
Phone (310) 533-1131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260619000553 CA Part B Supplier - Clinic/Group Practice 8820560998 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1922968023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21221 S WESTERN AVE STE 155",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012983",
            "telephone_number": "310-533-1131",
            "fax_number": "310-533-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21221 S WESTERN AVE STE 155",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012983",
            "telephone_number": "310-533-1131",
            "fax_number": "310-533-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIDIAN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "DEMAFELIX",
        "authorized_official_first_name": "JEHN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "310-533-1131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.