PRAIRIE MEDICAL GROUP INC
NPI 1407902240
Specialist in Inglewood, CA

NPI Status: Active since January 26, 2007

Contact Information

323 N. PRAIRIE AVE
SUITE 460
INGLEWOOD, CA
ZIP 90301
Phone: (310) 674-9010
Fax: (310) 677-5072

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  • Specialist

About PRAIRIE MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Prairie Medical Group Inc, a provider established in Inglewood, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1407902240 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number 05529709 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Prairie Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Christopher C Chidi Md (President)

NPI
1407902240
Provider Name
PRAIRIE MEDICAL GROUP INC
Entity Type
Organization
Location Address
323 N. PRAIRIE AVE SUITE 460 INGLEWOOD, CA 90301
Location Phone
(310) 674-9010
Location Fax
(310) 677-5072
Mailing Address
DEPARTMENT NO 2834 LOS ANGELES, CA 90084
Mailing Phone
(310) 214-8677
Mailing Fax
(310) 677-5072
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
05529709
License State
CA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHRISTOPHER C CHIDI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 214-8677

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0078671MEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407902240, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 8 + 0 + 4 + 2 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1407902240.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407902240, enumerated as an "organization" on January 26, 2007.

The provider is located at 323 N. PRAIRIE AVE SUITE 460 INGLEWOOD, CA 90301 and the phone number is (310) 674-9010.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.