COMMONS CLINIC MEDICAL GROUP, PC – NPI #1831856640
Clinic/Center

COMMONS CLINIC MEDICAL GROUP, PC is an AHC clinic located in MARINA DEL REY, CA. NPPES has assigned the NPI number 1831856640 to COMMONS CLINIC MEDICAL GROUP, PC on November 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 2 years ago on May 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMONS CLINIC MEDICAL GROUP, PC below.

NPI Profile for
COMMONS CLINIC MEDICAL GROUP, PC

NPI Number
1831856640
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONS CLINIC MEDICAL GROUP, PC
Primary location
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292-6393
Phone: (310) 437-7925 Fax:
2 Other location(s):
2080 Century Park E Ste 1204
Los Angeles, CA 90067-2015
Phone: (310) 595-1030
2811 Wilshire Blvd Ste 850
Santa Monica, CA 90403-4812
Phone: (310) 828-7757
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEAN ANN SCARAFIA
VICE PRESIDENT
Phone: (812) 629-3592
Updated
Certification Date
May 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
207XX0005X
- Orthopaedic Surgery / Sports Medicine
207X00000X
- Orthopaedic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.