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CENTINELA MEDICAL GROUP
NPI 1902215577
General Practice in Los Angeles, CA

Active since August 08, 2014CLIA 05D2128373 · Waiver
4405 S MAIN ST, LOS ANGELES, CA 90037(323) 231-0965(323) 231-6512 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Centinela Medical Group NPPES

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

CENTINELA MEDICAL GROUP (NPI 1902215577), doing business as Parklane Medical Group Inc, is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists George Chike Ifeorah, Director, as its authorized official.

NPPES Registry Identity

NPI1902215577
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTINELA MEDICAL GROUP
Location Address4405 S MAIN STLos Angeles, CA 90037-2731
Mailing Address4405 S Main StLos Angeles, CA 90037-2731 · (323) 231-0965 · Fax (323) 231-6512
Phone(323) 231-0965
Fax(323) 231-6512
Organization SubpartYesParent: Parklane Medical Group
Authorized OfficialGeorge Chike IfeorahDirector · (310) 367-3107
Enumeration DateAugust 8, 2014
✔ NPI 1902215577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · FNP31076
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4405 S MAIN ST, Los Angeles, CA 90037
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Other Names 1

Former Legal Business NameParklane Medical Group Inc

Other Identifiers 1

Medicare PINW11686CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2128373

Centinela Medical Group · Los Angeles, CA
Active · expires Mar 28, 2027
CLIA Number05D2128373
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorHazel Mckillop, MD
Laboratory Phone(323) 231-0659
Laboratory LocationCentinela Medical Group4405 S Main St, Los Angeles, CA 90037
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HABONA SERVICES
Clinic/Center (Family Planning, Non-Surgical)
4405 S MAIN ST
LOS ANGELES, CA 90037
Los Angeles County (323) 231-0659
DR. CHARLES IKECHUKWU OKOYE MD
General Practice
4405 S MAIN ST
LOS ANGELES, CA 90037
Los Angeles County (323) 231-0659
CHIKA MBADUGHA PHYSICIAN ASSISTANT
Physician Assistant
4405 S MAIN ST
LOS ANGELES, CA 90037
Los Angeles County (323) 231-0659

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 Centinela Medical Group's NPI number?

The NPI number for Centinela Medical Group is 1902215577. It was assigned to this organization in the NPPES registry on August 8, 2014. The provider was formerly known as Parklane Medical Group Inc.

Where is Centinela Medical Group located?

Centinela Medical Group is located at 4405 S Main St, Los Angeles, CA 90037. The listed phone number is (323) 231-0965.

What is Centinela Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Centinela Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2128373) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centinela Medical Group was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.