COMMONS CLINIC AFFILIATED MEDICAL GROUP, PC
NPI 1962169789
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since November 29, 2021
2080 CENTURY PARK E STE 1204, LOS ANGELES, CA 90067(310) 595-1030 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2022, Nov 30, 2021 (2 updates tracked since 2021).

About Commons Clinic Affiliated Medical Group, Pc NPPES

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

COMMONS CLINIC AFFILIATED MEDICAL GROUP, PC (NPI 1962169789) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Marina Del Rey and lists Ruchira Garg, President, as its authorized official.

NPPES Registry Identity

NPI1962169789
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOMMONS CLINIC AFFILIATED MEDICAL GROUP, PC
Location Address2080 CENTURY PARK E STE 1204Los Angeles, CA 90067-2015
Mailing Address2708 Wilshire Blvd Ste 460Santa Monica, CA 90403-4706 · (310) 753-0932
Organization SubpartNo
Authorized OfficialRuchira GargPresident · (310) 384-5853
Enumeration DateNovember 29, 2021
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1962169789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2080 CENTURY PARK E STE 1204, Los Angeles, CA 90067

Secondary Practice Location 1

Location 113160 Mindanao Way Ste 300Marina Del Rey, CA 90292-6393 · Phone (415) 687-1671

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
2080 CENTURY PARK E STE 1204
LOS ANGELES, CA 90067
Orthopaedic Surgery
2080 CENTURY PARK E STE 1204
LOS ANGELES, CA 90067

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 Commons Clinic Affiliated Medical Group, PC's NPI number?

The NPI number for Commons Clinic Affiliated Medical Group, PC is 1962169789. It was assigned to this organization in the NPPES registry on November 29, 2021.

Where is Commons Clinic Affiliated Medical Group, PC located?

Commons Clinic Affiliated Medical Group, PC is located at 2080 Century Park E Ste 1204, Los Angeles, CA 90067. The listed phone number is (310) 595-1030.

What is Commons Clinic Affiliated Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Commons Clinic Affiliated Medical Group, PC was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.