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ADVANCED LUNG CENTER MEDICAL GROUP INC.
NPI 1164593323
Internal Medicine - Pulmonary Disease in Inglewood, CA

Active since November 10, 2006CLIA 05D1055435 · Waiver
401 S LA BREA AVE STE 205, INGLEWOOD, CA 90301(310) 275-7575 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Lung Center Medical Group Inc. NPPES

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

ADVANCED LUNG CENTER MEDICAL GROUP INC. (NPI 1164593323) is a healthcare organization registered as a pulmonary disease in Inglewood, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Jamshid Niknam, President, as its authorized official.

NPPES Registry Identity

NPI1164593323
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameADVANCED LUNG CENTER MEDICAL GROUP INC.
Location Address401 S LA BREA AVE STE 205Inglewood, CA 90301-2321
Mailing Address401 S La Brea Ave Ste 205Inglewood, CA 90301-2321 · (310) 275-7575
Phone(310) 275-7575
Organization SubpartNo
Authorized OfficialJamshid NiknamPresident · (310) 275-7575
Enumeration DateNovember 10, 2006
Last NPPES UpdateApril 22, 2014
✔ NPI 1164593323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A52081
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License A52081 (CA)
401 S LA BREA AVE STE 205, Inglewood, CA 90301
Open in Google Maps ↗

Other Identifiers 4

Medicaid00A520810CA
Medicare UPINE98005CA
Medicare ID-Type UnspecifiedWA52081ECA
Medicare ID-Type UnspecifiedW13802CA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1055435

Advanced Lung Center Medical Group · Inglewood, CA
Active · expires May 14, 2028
CLIA Number05D1055435
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorJamshid Niknam, MD
Laboratory Phone(310) 275-7575
Laboratory LocationAdvanced Lung Center Medical Group401 S La Brea Ave, Inglewood, CA 90301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JAMSHID NIKNAM M.D.
Internal Medicine (Pulmonary Disease)
401 S LA BREA AVE STE 205
INGLEWOOD, CA 90301
Los Angeles County (310) 275-7575

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 Advanced Lung Center Medical Group Inc.'s NPI number?

The NPI number for Advanced Lung Center Medical Group Inc. is 1164593323. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Advanced Lung Center Medical Group Inc. located?

Advanced Lung Center Medical Group Inc. is located at 401 S La Brea Ave Ste 205, Inglewood, CA 90301. The listed phone number is (310) 275-7575.

What is Advanced Lung Center Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Does Advanced Lung Center Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1055435) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Lung Center Medical Group Inc. was last updated on April 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.