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PRAIRIE MEDICAL GROUP INC
NPI 1356495626
Specialist in Los Angeles, CA

Active since January 23, 2007
DEPARTMENT NO 2834, LOS ANGELES, CA 90084(310) 214-8677(310) 921-1718 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Prairie Medical Group Inc NPPES

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

PRAIRIE MEDICAL GROUP INC (NPI 1356495626) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since January 2007. The organization lists Christopher C Chidi, President, as its authorized official.

NPPES Registry Identity

NPI1356495626
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRAIRIE MEDICAL GROUP INC
Location AddressDEPARTMENT NO 2834Los Angeles, CA 90084-2826
Mailing AddressDepartment No 2834Los Angeles, CA 90084-2826 · (310) 214-8677 · Fax (310) 921-1718
Phone(310) 214-8677
Fax(310) 921-1718
Organization SubpartNo
Authorized OfficialChristopher C ChidiPresident · (310) 214-8677
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356495626 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.
DEPARTMENT NO 2834, Los Angeles, CA 90084
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Other Identifiers 4

MedicaidGR0078673CA
MedicaidGR0078674CA
MedicaidGR0078671CA
MedicaidGR0078675CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Group Inc's NPI number?

The NPI number for Prairie Medical Group Inc is 1356495626. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Prairie Medical Group Inc located?

Prairie Medical Group Inc is located at Department No 2834, Los Angeles, CA 90084. The listed phone number is (310) 214-8677.

What is Prairie Medical Group Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Prairie Medical Group Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.