Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Medical Group Inc

Organization Specialist · NPI 1386790145

Prairie Medical Group Inc is a Specialist in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2825 Santa Monica Blvd Ste 301
Santa Monica, CA 90404
Phone: (310) 082-9313
Fax: (310) 828-9156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 119553 (CA)

Record details

NPI number1386790145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — President · (310) 214-8677
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressDepartment No 2834, Los Angeles, CA 90084

Other providers in Santa Monica