South Atlantic Medical Group Ipa
NPI 1114193182 · Exclusive Provider Organization · Los Angeles, CA
South Atlantic Medical Group Ipa is a Exclusive Provider Organization organization in Los Angeles, CA (NPI 1114193182).
Provider details
- NPI number
- 1114193182
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Nissan Kahen, Medical Director(323) 725-0167
- License
- A410610 (CA)
Specialties & taxonomies
Managed Care Organizations
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
- 2008-04-30
- Last updated
- 2008-04-30
Frequently asked questions
- What is South Atlantic Medical Group Ipa's NPI number?
- South Atlantic Medical Group Ipa's National Provider Identifier (NPI) is 1114193182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlantic Medical Group Ipa?
- South Atlantic Medical Group Ipa is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is South Atlantic Medical Group Ipa located?
- South Atlantic Medical Group Ipa's practice location on file with NPPES is 5504 Whittier Blvd, Los Angeles, CA 90022-4104.
- What is South Atlantic Medical Group Ipa's phone number?
- The practice phone number listed in the NPPES registry for South Atlantic Medical Group Ipa is (323) 725-0167.
- Who is the authorized official for South Atlantic Medical Group Ipa?
- The authorized official listed on South Atlantic Medical Group Ipa's NPPES record is Nissan Kahen, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Atlantic Medical Group Ipa's NPI active?
- Yes — South Atlantic Medical Group Ipa's NPI (1114193182) is active in the NPPES registry as of the last update on 2008-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.