NPIMap

Organization Active NPI

Advanced Community Medical Care Corp

  • Primary Care Clinic/Center
  • Inglewood, CA
National Provider Identifier
1962851808
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ADVANCED COMMUNITY MEDICAL CARE CORP
Practice address
323 N Prairie Ave
Suite 417
Inglewood, CA 90301-4502
Phone
(310) 680-1810
NPI assigned
Jun 10, 2016
Last updated
Oct 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Dr. Randall Whitaker Maxey, MDNPI 1700944279
Title
President
Phone
(310) 680-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

323 N Prairie Ave
Suite 417
Inglewood, CA 90301-4502

Mailing address

447 N Prairie Ave
Inglewood, CA 90301-4502
Phone (310) 680-1810

National Provider Directory

National Provider Directory

Locations

418 E Arbor Vitae St
Inglewood, CA 90301
Phone (310) 673-8600

Practitioners & affiliated clinicians

Practitioners 4

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": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1962851808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-680-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "SUITE 417",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-680-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COMMUNITY MEDICAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WHITAKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-680-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.