OrganizationActive
Prairie Medical Group
NPI 1194846410 · Specialist · Marina Del Rey, CA
Prairie Medical Group is a Specialist organization in Marina Del Rey, CA (NPI 1194846410).
Provider details
- NPI number
- 1194846410
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Chidi, President(310) 214-8677
- License
- 058963 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
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
4644 Lincoln Blvd
Suite 428
Marina Del Rey, CA 90292
Phone: (310) 214-8677
Fax: (310) 921-1718
Street-level locationGet directions
Mailing address
Dept 2834
Los Angeles, CA 90084
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Prairie Medical Group's NPI number?
- Prairie Medical Group's National Provider Identifier (NPI) is 1194846410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Medical Group?
- Prairie Medical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Prairie Medical Group located?
- Prairie Medical Group's practice location on file with NPPES is 4644 Lincoln Blvd, Marina Del Rey, CA 90292.
- What is Prairie Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Prairie Medical Group is (310) 214-8677.
- Who is the authorized official for Prairie Medical Group?
- The authorized official listed on Prairie Medical Group's NPPES record is Christopher Chidi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Medical Group's NPI active?
- Yes — Prairie Medical Group's NPI (1194846410) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.