OrganizationActive
Nova Medical Center, a Professional Corporation
NPI 1154634228 · Non-Pharmacy Dispensing Site · San Pedro, CA
Provider details
- NPI number
- 1154634228
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Nova Medical Center, a Professional Corporation
- Organization subpart
- Yes
- Authorized official
- Randall Caldron, Medical Director(818) 599-1002
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1423 W 8th St
San Pedro, CA 90732-3803
Phone: (818) 599-1002
Street-level locationGet directions
Mailing address
1197 E Los Angeles Ave Ste C303
Simi Valley, CA 93065-2868
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2019-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.