PACIFIC NEPHROLOGY MEDICAL GROUP
NPI 1922013515
Internal Medicine - Nephrology in Inglewood, CA

Active since July 30, 2006
323 N PRAIRIE AVE # 334, INGLEWOOD, CA 90301(310) 674-8600(310) 671-9883 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacific Nephrology Medical Group NPPES

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

PACIFIC NEPHROLOGY MEDICAL GROUP (NPI 1922013515) is a healthcare organization registered as a nephrology in Inglewood, California and active in the NPI registry since July 2006. The organization lists Michael Dylan Healy, Partner, as its authorized official.

NPPES Registry Identity

NPI1922013515
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePACIFIC NEPHROLOGY MEDICAL GROUP
Location Address323 N PRAIRIE AVE # 334Inglewood, CA 90301-4502
Mailing Address323 N Prairie Ave # 334Inglewood, CA 90301-4502 · (310) 674-8600 · Fax (310) 671-9883
Fax(310) 671-9883
Organization SubpartNo
Authorized OfficialMichael Dylan HealyPartner · (310) 674-8600
Enumeration DateJuly 30, 2006
Last NPPES UpdateSeptember 21, 2009
✔ NPI 1922013515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
323 N PRAIRIE AVE # 334, Inglewood, CA 90301

Other Identifiers 2

Medicare ID-Type UnspecifiedW5961ACA
MedicaidGR0000360CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Pacific Nephrology 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 Pacific Nephrology Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nephrology
NPI 1861495020
323 N PRAIRIE AVE STE 334
Inglewood, CA 90301
(310) 674-8600
✔ PECOS✔ Accepts Medicare0.4 mi
Nephrology
NPI 1144223397
323 N PRAIRIE AVE STE 334
Inglewood, CA 90301
(310) 674-8600
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1053545129
323 N PRAIRIE AVE SUITE #334
Inglewood, CA 90301
(310) 674-8600
✔ PECOS✔ Accepts Medicare0.4 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 Pacific Nephrology Medical Group's NPI number?

The NPI number for Pacific Nephrology Medical Group is 1922013515. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Pacific Nephrology Medical Group located?

Pacific Nephrology Medical Group is located at 323 N Prairie Ave # 334, Inglewood, CA 90301. The listed phone number is (310) 674-8600.

What is Pacific Nephrology Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pacific Nephrology Medical Group enrolled in Medicare?

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

How many clinicians bill Medicare through Pacific Nephrology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pacific Nephrology Medical Group, in Internal Medicine and Nephrology. 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, 3 practice 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 Pacific Nephrology Medical Group was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.