La Vascular Access Ctr Medical Grp
NPI 1104960558 · Specialist · Inglewood, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
La Vascular Access Ctr Medical Grp is a Specialist organization in Inglewood, CA (NPI 1104960558).
Provider details
- NPI number
- 1104960558
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jack Rubin, Authorized Offical(310) 674-9300
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-02-19
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Frequently asked questions
- What is La Vascular Access Ctr Medical Grp's NPI number?
- La Vascular Access Ctr Medical Grp's National Provider Identifier (NPI) is 1104960558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is La Vascular Access Ctr Medical Grp?
- La Vascular Access Ctr Medical Grp is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is La Vascular Access Ctr Medical Grp located?
- La Vascular Access Ctr Medical Grp's practice location on file with NPPES is 323 N Prairie Ave, Inglewood, CA 90301-4502.
- What is La Vascular Access Ctr Medical Grp's phone number?
- The practice phone number listed in the NPPES registry for La Vascular Access Ctr Medical Grp is (310) 674-9300.
- Does La Vascular Access Ctr Medical Grp accept Medicare?
- La Vascular Access Ctr Medical Grp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for La Vascular Access Ctr Medical Grp?
- The authorized official listed on La Vascular Access Ctr Medical Grp's NPPES record is Jack Rubin, Authorized Offical. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is La Vascular Access Ctr Medical Grp's NPI active?
- Yes — La Vascular Access Ctr Medical Grp's NPI (1104960558) is active in the NPPES registry as of the last update on 2021-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.