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PRAIRIE AVENUE PODIATRY GROUP
NPI 1275068967
Podiatrist - Foot & Ankle Surgery in Inglewood, CA

Active since May 01, 2017
323 N PRAIRIE AVE, SUITE 320, INGLEWOOD, CA 90301(310) 671-5800(310) 671-5810 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, Oct 6, 2022, Jun 28, 2021 (3 updates tracked since 2021).

About Prairie Avenue Podiatry Group NPPES

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

PRAIRIE AVENUE PODIATRY GROUP (NPI 1275068967) is a healthcare organization registered as a foot & ankle surgery in Inglewood, California and active in the NPI registry since May 2017. The organization lists Beverly Stephens, Secretary, as its authorized official.

NPPES Registry Identity

NPI1275068967
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRAIRIE AVENUE PODIATRY GROUP
Location Address323 N PRAIRIE AVE, SUITE 320Inglewood, CA 90301-4502
Mailing Address323 N Prairie Ave Ste 320Inglewood, CA 90301-4505 · (310) 671-5800 · Fax (310) 671-5810
Phone(310) 671-5800
Fax(310) 671-5810
Organization SubpartNo
Authorized OfficialBeverly StephensSecretary · (310) 671-5800
Enumeration DateMay 1, 2017
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1275068967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E2206
323 N PRAIRIE AVE, Inglewood, CA 90301
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Other Identifiers 1

OtherCB277242CA · Medicare Nhic

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 20

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

MS. SHEAVA RAHIMI
Rehabilitation Practitioner
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
DR. TIMOTHY V SCOTT M.D.
Specialist
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 673-5774
LAUREN CONA LCSW
Social Worker (Clinical)
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
ELIZABETH CHAVEZ
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
MARIBEL TORRES
Social Worker (Clinical)
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
ARIEL PETERSON M.P.H.
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
MYUNG SUN KIM
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 895-2330
DR. DWIGHT GREGORY STEPHENS DPM
Podiatrist
323 N PRAIRIE AVE, SUITE 320
INGLEWOOD, CA 90301
Los Angeles County (310) 671-5800

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 Prairie Avenue Podiatry Group's NPI number?

The NPI number for Prairie Avenue Podiatry Group is 1275068967. It was assigned to this organization in the NPPES registry on May 1, 2017.

Where is Prairie Avenue Podiatry Group located?

Prairie Avenue Podiatry Group is located at 323 N Prairie Ave Suite 320, Inglewood, CA 90301. The listed phone number is (310) 671-5800.

What is Prairie Avenue Podiatry Group's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Prairie Avenue Podiatry Group was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.