Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prairie Medical Group Inc

Organization Specialist · NPI 1386790145

Prairie Medical Group Inc provides Specialist services 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

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