Manchester Community Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANCHESTER COMMUNITY MEDICAL CENTER

Practice address

2220 W Manchester Blvd
Inglewood, CA 90305-2514

Phone

(310) 644-8400

Fax

(310) 644-8424

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Olukemi Wallace, MDNPI 1609804350

Title

Ceo

Phone

(310) 644-8400

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olukemi A Wallace, M.D.

  • Specialist
  • Inglewood, CA
  • NPI 1609804350

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1932080975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "310-644-8400",
            "fax_number": "310-644-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052514",
            "telephone_number": "310-644-8400",
            "fax_number": "310-644-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-644-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Maldonado
• Sonia Maldonado, LCSW
• Sri Lakshmi Priyanka Mallempalli, MD
• Erica Malone
• Kimberly Dawn Malone, M.D.
• Manifesting Me Wellness a Licensed Clinical Social Worker Corporation
• Lisa Mann
• Mable Alyse Manning, IMF81596
• Gabriela Marcus, ASW
• Lia Maresca, RN

• Internal Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.