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Prairie Medical Group

Specialist in Marina Del Rey, CA · enumerated 2007 · authorized official Christopher Chidi, President.

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

National Provider Identifier

1194846410

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Registry record

Entity type Organization (Type 2)
Legal business name Prairie Medical Group
Practice address 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA, 90292
Fax (310) 921-1718
Enumeration date Apr 3, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License 058963 (CA) Primary

Authorized official

Name Christopher Chidi
Title President

Other identifiers

Identifier Type State Issuer
GR0078675 Medicaid CA -

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

Where is Prairie Medical Group located?
The practice location on file with NPPES is in Marina Del Rey, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.