PRAIRIE MEDICAL GROUP INC
NPI 1407902240
Specialist in Inglewood, CA

Q: What is Prairie Medical Group Inc's NPI number?

The NPI number for Prairie Medical Group Inc is 1407902240. It was assigned to this organization in the NPPES registry on January 26, 2007.

Q: What is Prairie Medical Group Inc's specialty?

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

Active since January 26, 2007

323 N. PRAIRIE AVE, SUITE 460, INGLEWOOD, CA 90301(310) 674-9010(310) 677-5072 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Medical Group Inc NPPES

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

PRAIRIE MEDICAL GROUP INC (NPI 1407902240) is a healthcare organization registered as a specialist in Inglewood, California and active in the NPI registry since January 2007. The organization lists Christopher C Chidi, President, as its authorized official.

NPPES Registry Identity

NPI1407902240

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePRAIRIE MEDICAL GROUP INC

Location Address323 N. PRAIRIE AVE, SUITE 460Inglewood, CA 90301

Mailing AddressDepartment No 2834Los Angeles, CA 90084 · (310) 214-8677 · Fax (310) 921-1718

Phone(310) 674-9010

Fax(310) 677-5072

Organization SubpartNo

Authorized OfficialChristopher C ChidiPresident · (310) 214-8677

Enumeration DateJanuary 26, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407902240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 05529709

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.

323 N. PRAIRIE AVE, Inglewood, CA 90301

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Other Identifiers 1

MedicaidGR0078671CA

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 1407902240. 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 323 N. Prairie Ave Suite 460, Inglewood, CA 90301. The listed phone number is (310) 674-9010.

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.