Bullis Family Medical
NPI 1104084623 · Family Medicine Physician · Inglewood, CA
Bullis Family Medical is a Family Medicine Physician organization in Inglewood, CA (NPI 1104084623).
Provider details
- NPI number
- 1104084623
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bambi Nickelberry, Physician(310) 673-3737
- License
- G46679 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2008-06-02
Frequently asked questions
- What is Bullis Family Medical's NPI number?
- Bullis Family Medical's National Provider Identifier (NPI) is 1104084623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bullis Family Medical?
- Bullis Family Medical is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bullis Family Medical located?
- Bullis Family Medical's practice location on file with NPPES is 248 N Locust St, Inglewood, CA 90301-1258.
- What is Bullis Family Medical's phone number?
- The practice phone number listed in the NPPES registry for Bullis Family Medical is (310) 673-3737.
- Who is the authorized official for Bullis Family Medical?
- The authorized official listed on Bullis Family Medical's NPPES record is Bambi Nickelberry, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bullis Family Medical's NPI active?
- Yes — Bullis Family Medical's NPI (1104084623) is active in the NPPES registry as of the last update on 2008-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.