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SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC
NPI 1235751405
Physician Assistant in Inglewood, CA

Active since May 11, 2020CLIA 05D2289067 · Waiver
645 AERICK ST STE 3, INGLEWOOD, CA 90301(310) 431-4926 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Aug 19, 2024, Dec 19, 2022 and 4 more (7 updates tracked since 2020).

About Southern California Physician Assistant Medical Group Pc NPPES

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

SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC (NPI 1235751405) is a healthcare organization registered as a physician assistant in Inglewood, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 4, 2027, maintains a secondary practice location in Los Angeles, and lists Joseph David Silverstein, President, as its authorized official.

NPPES Registry Identity

NPI1235751405
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC
Location Address645 AERICK ST STE 3Inglewood, CA 90301-4884
Mailing Address645 Aerick St Ste 3Inglewood, CA 90301-4884 · (310) 431-4926
Phone(310) 431-4926
Organization SubpartNo
Authorized OfficialJoseph David SilversteinPresident · (805) 732-9712
Enumeration DateMay 11, 2020
Last NPPES UpdateDecember 1, 20257 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1235751405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
645 AERICK ST STE 3, Inglewood, CA 90301
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Secondary Practice Location 1

Location 14075 Whittier BlvdLos Angeles, CA 90023-2525 · Phone (310) 431-4926

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 05D2289067

Southern California Physician Asst Med Group · Los Angeles, CA
Active · expires Sep 4, 2027
CLIA Number05D2289067
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorAmin Chirag
Laboratory Phone(805) 732-9712
Laboratory LocationSouthern California Physician Asst Med Group8610 S Sepulveda Blvd Suite 202, Los Angeles, CA 90045
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC
Physician Assistant
645 AERICK ST STE 3
INGLEWOOD, CA 90301
Los Angeles County (310) 431-4926
JOSEPH DAVID SILVERSTEIN P.A.
Physician Assistant
645 AERICK ST STE 3
INGLEWOOD, CA 90301
Los Angeles County (310) 431-4926
LOVETH AMAKOR NP
Nurse Practitioner (Family)
645 AERICK ST STE 3
INGLEWOOD, CA 90301
Los Angeles County (310) 431-4480
AYONNA N. TAYLOR, D.D.S., A PROFESSIONAL CORP.
Clinic/Center (Dental)
645 AERICK ST STE 3
INGLEWOOD, CA 90301
Los Angeles County (323) 678-4779

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 Southern California Physician Assistant Medical Group PC's NPI number?

The NPI number for Southern California Physician Assistant Medical Group PC is 1235751405. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Southern California Physician Assistant Medical Group PC located?

Southern California Physician Assistant Medical Group PC is located at 645 Aerick St Ste 3, Inglewood, CA 90301. The listed phone number is (310) 431-4926.

What is Southern California Physician Assistant Medical Group PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Southern California Physician Assistant Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2289067) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern California Physician Assistant Medical Group PC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.