El Segundo Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

22969 Issued in CA

Legal business name

EL SEGUNDO MEDICAL CENTER INC

Practice address

455 Main Street
El Segundo, CA 90245

Phone

(310) 322-1611

Fax

(310) 322-4589

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Arnold Chanin, MD

Title

Medical Director President

Phone

(310) 322-1611

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Centinela Medical Center El Segundo Former legal business name

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972681971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MAIN STREET",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "310-322-1611",
            "fax_number": "310-322-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAIN STREET",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "90245",
            "telephone_number": "310-322-1611",
            "fax_number": "310-322-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SEGUNDO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANIN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "310-322-1611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "22969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64726Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079113",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centinela Medical Center El Segundo",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Makayla Eggleston
• Kayla Christine Eichaker
• Eileen J. Bell
• El Segundo Dermatology, Inc.
• El Segundo Endoscopy Center LLC
• El Segundo Medical Center Inc.
• El Segundo Pharmacy Inc
• El Segundo Unified School District
• Layla El-Hiraki
• Varshini Elango

• Clinic/Center in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.