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CENTINELA MEDICAL GROUP
NPI 1902936099
General Practice in Inglewood, CA

Active since March 07, 2007
933 CENTINELA AVE, B, INGLEWOOD, CA 90302(310) 677-5090(310) 677-7302 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centinela Medical Group NPPES

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

CENTINELA MEDICAL GROUP (NPI 1902936099), doing business as Parklane Medical Group Inc, is a healthcare organization registered as a general practice in Inglewood, California and active in the NPI registry since March 2007. The organization lists George Chikelue Ifeorah, Director, as its authorized official.

NPPES Registry Identity

NPI1902936099
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTINELA MEDICAL GROUP
Location Address933 CENTINELA AVE, BInglewood, CA 90302-1501
Mailing Address933 Centinela Ave, BInglewood, CA 90302-1501 · (310) 677-5090 · Fax (310) 677-7302
Phone(310) 677-5090
Fax(310) 677-7302
Organization SubpartNo
Authorized OfficialGeorge Chikelue IfeorahDirector · (310) 677-5090
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 20, 2013
✔ NPI 1902936099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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
933 CENTINELA AVE, Inglewood, CA 90302
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Other Names 1

Former Legal Business NameParklane Medical Group Inc

Other Identifiers 1

Medicare ID-Type UnspecifiedW11686CA · Provider Number

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Centinela Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Anita Hibler, M.D.
Family Practice
NPI 1306062476
933 CENTINELA AVE STE B
Inglewood, CA 90302
(210) 677-5090
✔ PECOS✔ Accepts MedicareSame address
Hazel Mckillop, MD
Internal Medicine
NPI 1396766994
12900 AVALON BLVD
Los Angeles, CA 90061
(310) 370-5888
✔ PECOS✔ Accepts Medicare6.7 mi
Nkorrye Ezeobah
Nurse Practitioner
NPI 1689706699
16610 CRENSHAW BLVD
Torrance, CA 90504
(310) 856-0406
✔ PECOS6.8 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 Centinela Medical Group's NPI number?

The NPI number for Centinela Medical Group is 1902936099. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider was formerly known as Parklane Medical Group Inc.

Where is Centinela Medical Group located?

Centinela Medical Group is located at 933 Centinela Ave B, Inglewood, CA 90302. The listed phone number is (310) 677-5090.

What is Centinela Medical Group's specialty?

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

Is Centinela Medical Group enrolled in Medicare?

Yes. Centinela Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centinela Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Centinela Medical Group, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 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 Centinela Medical Group was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.