OrganizationActive
Prairie Medical Group Inc
NPI 1407902240 · Specialist · Inglewood, CA
Provider details
- NPI number
- 1407902240
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Chidi, President(310) 214-8677
- License
- 05529709 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 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
323 N. Prairie Ave
Suite 460
Inglewood, CA 90301
Phone: (310) 674-9010
Fax: (310) 677-5072
Street-level locationGet directions
Mailing address
Department No 2834
Los Angeles, CA 90084
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 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.