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BULLIS FAMILY MEDICAL
NPI 1104084623
Family Medicine in Inglewood, CA

Active since May 30, 2008
248 N LOCUST ST, INGLEWOOD, CA 90301(310) 673-3737(310) 673-0248 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bullis Family Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BULLIS FAMILY MEDICAL (NPI 1104084623) is a healthcare organization registered as a family medicine in Inglewood, California and active in the NPI registry since May 2008. The organization lists Bambi L. Nickelberry, Physician, as its authorized official.

NPPES Registry Identity

NPI1104084623
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBULLIS FAMILY MEDICAL
Location Address248 N LOCUST STInglewood, CA 90301-1258
Mailing Address248 N Locust StInglewood, CA 90301-1258 · (310) 673-3737 · Fax (310) 673-0248
Phone(310) 673-3737
Fax(310) 673-0248
Organization SubpartNo
Authorized OfficialBambi L. NickelberryPhysician · (310) 673-3737
Enumeration DateMay 30, 2008
Last NPPES UpdateJune 2, 2008
✔ NPI 1104084623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G46679
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
248 N LOCUST ST, Inglewood, CA 90301
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Other Identifiers 1

Medicare PINW8158CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOS ANGELES MULTISPECIALTY MEDICAL GROUP
Internal Medicine (Nephrology)
248 N LOCUST ST
INGLEWOOD, CA 90301
Los Angeles County (310) 680-1810
BAMBI L NICKELBERRY MD PROFESSIONAL CORPORATION
Family Medicine (Adult Medicine)
248 N LOCUST ST
INGLEWOOD, CA 90301
Los Angeles County (310) 673-3737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bullis Family Medical's NPI number?

The NPI number for Bullis Family Medical is 1104084623. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Bullis Family Medical located?

Bullis Family Medical is located at 248 N Locust St, Inglewood, CA 90301. The listed phone number is (310) 673-3737.

What is Bullis Family Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bullis Family Medical was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.