South Atlantic Medical Group
NPI 1306029806 · General Practice Physician · Gardena, CA
South Atlantic Medical Group is a General Practice Physician organization in Gardena, CA (NPI 1306029806).
Provider details
- NPI number
- 1306029806
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nissan Kahen, Medical Director(323) 725-0167
- License
- A41061 (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
- 2007-12-07
- Last updated
- 2007-12-13
Frequently asked questions
- What is South Atlantic Medical Group's NPI number?
- South Atlantic Medical Group's National Provider Identifier (NPI) is 1306029806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Atlantic Medical Group?
- South Atlantic Medical Group is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is South Atlantic Medical Group located?
- South Atlantic Medical Group's practice location on file with NPPES is 1030 W Gardena Blvd, Gardena, CA 90247-4956.
- What is South Atlantic Medical Group's phone number?
- The practice phone number listed in the NPPES registry for South Atlantic Medical Group is (310) 323-9999.
- Who is the authorized official for South Atlantic Medical Group?
- The authorized official listed on South Atlantic Medical Group'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's NPI active?
- Yes — South Atlantic Medical Group's NPI (1306029806) is active in the NPPES registry as of the last update on 2007-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.