ONE HEALTH MEDICAL GROUP INC
NPI 1376283614
Clinic/Center - Multi-Specialty in Lynwood, CA

Active since April 01, 2022
3630 E IMPERIAL HWY STE 55B, LYNWOOD, CA 90262(310) 722-1108(310) 362-8957 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Apr 8, 2022 (2 updates tracked since 2022).

About One Health Medical Group Inc NPPES

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

ONE HEALTH MEDICAL GROUP INC (NPI 1376283614) is a healthcare organization registered as a multi-specialty in Lynwood, California and active in the NPI registry since April 2022. The organization lists Anthony Davenport, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376283614
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameONE HEALTH MEDICAL GROUP INC
Location Address3630 E IMPERIAL HWY STE 55BLynwood, CA 90262-2609
Mailing Address3630 E Imperial Hwy # 55bLynwood, CA 90262-2609 · (310) 722-1108 · Fax (310) 362-8957
Fax(310) 362-8957
Organization SubpartNo
Authorized OfficialAnthony DavenportAdministrator · (773) 412-4653
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1376283614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
3630 E IMPERIAL HWY STE 55B, Lynwood, CA 90262

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

One Health Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to One Health Medical Group Inc, 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 (5)

Nurse Practitioner
NPI 1255738100
3630 E IMPERIAL HWY
Lynwood, CA 90262
(310) 900-8432
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225670557
3621 MARTIN LUTHER KING JR BLVD STE 6
Lynwood, CA 90262
(310) 537-1503
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447082433
4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403
(818) 387-6114
✔ PECOS21 mi
Internal Medicine
NPI 1265751226
4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403
(818) 528-1260
✔ PECOS✔ Accepts Medicare21 mi
Internal Medicine
NPI 1114258944
4955 VAN NUYS BLVD STE 308
Sherman Oaks, CA 91403
(818) 528-1044
✔ PECOS✔ Accepts Medicare21 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 One Health Medical Group Inc's NPI number?

The NPI number for One Health Medical Group Inc is 1376283614. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is One Health Medical Group Inc located?

One Health Medical Group Inc is located at 3630 E Imperial Hwy Ste 55B, Lynwood, CA 90262. The listed phone number is (310) 722-1108.

What is One Health Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is One Health Medical Group Inc enrolled in Medicare?

Yes. One Health Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through One Health Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to One Health Medical Group Inc. 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 Nurse Practitioner (3) and Internal Medicine (2). 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 One Health Medical Group Inc was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.