San Judas Tadeo Medical Group, Inc.
NPI 1417558842ActiveOrganization· General Practice· Inglewood, CA
General Practice in Inglewood, California, registered in NPPES in November 2020. The authorized official on file is Rommel Gonzalez, MD, Medical Director.
Overview
| NPI | 1417558842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2020 |
| Last updated in NPPES | Nov 3, 2020 |
| Certified by provider | Oct 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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