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LA VASCULAR ACCESS CTR MEDICAL GRP
NPI 1104960558
Specialist in Inglewood, CA

Active since February 19, 2007
323 N PRAIRIE AVE, SUITE 114, INGLEWOOD, CA 90301(310) 674-9300(310) 674-9301 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2021, Jun 21, 2018 (2 updates tracked since 2018).

About La Vascular Access Ctr Medical Grp NPPES

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

LA VASCULAR ACCESS CTR MEDICAL GRP (NPI 1104960558) is a healthcare organization registered as a specialist in Inglewood, California and active in the NPI registry since February 2007. The organization lists Jack E Rubin, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1104960558
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLA VASCULAR ACCESS CTR MEDICAL GRP
Location Address323 N PRAIRIE AVE, SUITE 114Inglewood, CA 90301-4502
Mailing Address323 N Prairie Ave, Suite 114Inglewood, CA 90301-4502 · (310) 674-9300 · Fax (310) 674-9301
Phone(310) 674-9300
Fax(310) 674-9301
Organization SubpartNo
Authorized OfficialJack E RubinAuthorized Offical · (310) 674-9300
Enumeration DateFebruary 19, 2007
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1104960558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
323 N PRAIRIE AVE, Inglewood, CA 90301
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Other Identifiers 2

OtherW21161CA · Medicare - Group
OtherGR0105550CA · Medi-cal - Group

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Vascular Access Ctr Medical Grp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to La Vascular Access Ctr Medical Grp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Dipak Ranparia, MD
Interventional Radiology
NPI 1942284781
323 N PRAIRIE AVE SUITE 114
Inglewood, CA 90301
(310) 674-9300
✔ PECOS✔ Accepts MedicareSame address
Frank Hao, M.D.
Interventional Radiology
NPI 1346508827
11301 WILSHIRE BLVD # 114
Los Angeles, CA 90073
(203) 224-9730
✔ PECOS✔ Accepts Medicare9.1 mi
Atabak Allaei, M.D.
Interventional Radiology
NPI 1720390420
3801 KATELLA AVE STE 207
Los Alamitos, CA 90720
(323) 391-4337
✔ PECOS✔ Accepts Medicare19 mi
Rajesh Bhavsar, M.D.
Diagnostic Radiology
NPI 1043471022
18436 ROSCOE BLVD
Northridge, CA 91325
(818) 435-1400
✔ PECOS✔ Accepts Medicare21 mi
Neil Goldstein, MD
Interventional Radiology
NPI 1235165226
1400 REYNOLDS AVE STE 110
Irvine, CA 92614
(949) 398-7472
✔ PECOS✔ Accepts Medicare34 mi
John Hewett, MD
Interventional Radiology
NPI 1972543296
1400 REYNOLDS AVE STE 110
Irvine, CA 92614
(949) 387-4724
✔ PECOS✔ Accepts Medicare34 mi
Karl Weingarten, MD
Interventional Radiology
NPI 1134172547
4334 CENTRAL AVE
Riverside, CA 92506
(951) 248-1291
✔ PECOS✔ Accepts Medicare54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 La Vascular Access Ctr Medical Grp's NPI number?

The NPI number for La Vascular Access Ctr Medical Grp is 1104960558. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is La Vascular Access Ctr Medical Grp located?

La Vascular Access Ctr Medical Grp is located at 323 N Prairie Ave Suite 114, Inglewood, CA 90301. The listed phone number is (310) 674-9300.

What is La Vascular Access Ctr Medical Grp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is La Vascular Access Ctr Medical Grp enrolled in Medicare?

Yes. La Vascular Access Ctr Medical Grp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Vascular Access Ctr Medical Grp?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to La Vascular Access Ctr Medical Grp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Interventional Radiology (6) and Diagnostic Radiology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Vascular Access Ctr Medical Grp was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.