PRAIRIE MEDICAL GROUP INC
NPI 1386790145
Specialist in Santa Monica, CA

Active since January 26, 2007
2825 SANTA MONICA BLVD, SUITE 301, SANTA MONICA, CA 90404(310) 082-9313(310) 828-9156 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Medical Group Inc NPPES

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

PRAIRIE MEDICAL GROUP INC (NPI 1386790145) is a healthcare organization registered as a specialist in Santa Monica, California and active in the NPI registry since January 2007. The organization lists Christopher C Chidi, President, as its authorized official.

NPPES Registry Identity

NPI1386790145
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRAIRIE MEDICAL GROUP INC
Location Address2825 SANTA MONICA BLVD, SUITE 301Santa Monica, CA 90404
Mailing AddressDepartment No 2834Los Angeles, CA 90084 · (310) 214-8677 · Fax (310) 921-1718
Fax(310) 828-9156
Organization SubpartNo
Authorized OfficialChristopher C ChidiPresident · (310) 214-8677
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1386790145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · 119553
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.
2825 SANTA MONICA BLVD, Santa Monica, CA 90404

Other Identifiers 1

MedicaidGR0078674CA

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

Other Providers at the Same Location NPPES 19

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

Chiropractor
2825 SANTA MONICA BLVD, SUITE 101
SANTA MONICA, CA 90404
Clinic/Center (Ambulatory Surgical)
2825 SANTA MONICA BLVD, SUITE 100B
SANTA MONICA, CA 90404
Clinic/Center (Ambulatory Surgical)
2825 SANTA MONICA BLVD, SUITE 100B
SANTA MONICA, CA 90404
Internal Medicine (Hematology & Oncology)
2825 SANTA MONICA BLVD, STE. 200
SANTA MONICA, CA 90404
Radiology (Diagnostic Radiology)
2825 SANTA MONICA BLVD, SUITE 301
SANTA MONICA, CA 90404
Ophthalmology
2825 SANTA MONICA BLVD, SUITE 101
SANTA MONICA, CA 90404
Dentist
2825 SANTA MONICA BLVD, SUITE 301
SANTA MONICA, CA 90404
Chiropractor (Sports Physician)
2825 SANTA MONICA BLVD, SUITE 101
SANTA MONICA, CA 90404

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 1386790145. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Prairie Medical Group Inc located?

Prairie Medical Group Inc is located at 2825 Santa Monica Blvd Suite 301, Santa Monica, CA 90404. The listed phone number is (310) 082-9313.

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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.