San Judas Tadeo Medical Group, Inc.
NPI 1417558842 · General Practice Physician · Inglewood, CA
San Judas Tadeo Medical Group, Inc. is a General Practice Physician organization in Inglewood, CA (NPI 1417558842).
Provider details
- NPI number
- 1417558842
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rommel Gonzalez, Medical Director(323) 821-4386
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-11-03
- Last updated
- 2020-11-03
- Certified
- 2020-10-30
Frequently asked questions
- What is San Judas Tadeo Medical Group, Inc.'s NPI number?
- San Judas Tadeo Medical Group, Inc.'s National Provider Identifier (NPI) is 1417558842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Judas Tadeo Medical Group, Inc.?
- San Judas Tadeo Medical Group, Inc. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is San Judas Tadeo Medical Group, Inc. located?
- San Judas Tadeo Medical Group, Inc.'s practice location on file with NPPES is 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869.
- What is San Judas Tadeo Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for San Judas Tadeo Medical Group, Inc. is (310) 330-4818.
- Who is the authorized official for San Judas Tadeo Medical Group, Inc.?
- The authorized official listed on San Judas Tadeo Medical Group, Inc.'s NPPES record is Rommel Gonzalez, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Judas Tadeo Medical Group, Inc.'s NPI active?
- Yes — San Judas Tadeo Medical Group, Inc.'s NPI (1417558842) is active in the NPPES registry as of the last update on 2020-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.