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La Vascular Access Ctr Medical Grp

Specialist in Inglewood, CA · enumerated 2007 · authorized official Jack Rubin, Authorized Offical.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104960558

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Registry record

Entity type Organization (Type 2)
Legal business name La Vascular Access Ctr Medical Grp
Practice address 323 N Prairie Ave, Suite 114, Inglewood, CA, 90301
Phone (310) 674-9300
Fax (310) 674-9301
Enumeration date Feb 19, 2007
Last updated in NPPES Oct 14, 2021

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Jack Rubin
Title Authorized Offical
Phone (310) 674-9300

Other identifiers

Identifier Type State Issuer
GR0105550 Other CA MEDI-CAL - GROUP
W21161 Other CA MEDICARE - GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for La Vascular Access Ctr Medical Grp?
The NPI for La Vascular Access Ctr Medical Grp is 1104960558, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for La Vascular Access Ctr Medical Grp?
NPPES lists Jack Rubin (Authorized Offical) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-14.