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ADVANCED COMMUNITY MEDICAL CARE CORP
NPI 1962851808
Clinic/Center - Primary Care in Inglewood, CA

Active since June 10, 2016
323 N PRAIRIE AVE, SUITE 417, INGLEWOOD, CA 90301(310) 680-1810 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2019, Sep 12, 2016 (2 updates tracked since 2016).

About Advanced Community Medical Care Corp NPPES

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

ADVANCED COMMUNITY MEDICAL CARE CORP (NPI 1962851808) is a healthcare organization registered as a primary care in Inglewood, California and active in the NPI registry since June 2016. The organization lists Randall Whitaker Maxey, President, as its authorized official.

NPPES Registry Identity

NPI1962851808
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADVANCED COMMUNITY MEDICAL CARE CORP
Location Address323 N PRAIRIE AVE, SUITE 417Inglewood, CA 90301-4502
Mailing Address447 N Prairie AveInglewood, CA 90301-4502 · (310) 680-1810
Phone(310) 680-1810
Organization SubpartNo
Authorized OfficialRandall Whitaker MaxeyPresident · (310) 680-1810
Enumeration DateJune 10, 2016
Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration
✔ NPI 1962851808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
323 N PRAIRIE AVE, Inglewood, CA 90301
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Other Providers at the Same Location NPPES 20

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

MS. SHEAVA RAHIMI
Rehabilitation Practitioner
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
DR. TIMOTHY V SCOTT M.D.
Specialist
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 673-5774
LAUREN CONA LCSW
Social Worker (Clinical)
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
ELIZABETH CHAVEZ
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
MARIBEL TORRES
Social Worker (Clinical)
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
ARIEL PETERSON M.P.H.
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
MYUNG SUN KIM
Case Manager/Care Coordinator
323 N PRAIRIE AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 895-2330
DR. DWIGHT GREGORY STEPHENS DPM
Podiatrist
323 N PRAIRIE AVE, SUITE 320
INGLEWOOD, CA 90301
Los Angeles County (310) 671-5800

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 Advanced Community Medical Care Corp's NPI number?

The NPI number for Advanced Community Medical Care Corp is 1962851808. It was assigned to this organization in the NPPES registry on June 10, 2016.

Where is Advanced Community Medical Care Corp located?

Advanced Community Medical Care Corp is located at 323 N Prairie Ave Suite 417, Inglewood, CA 90301. The listed phone number is (310) 680-1810.

What is Advanced Community Medical Care Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Advanced Community Medical Care Corp was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.