Bambi L Nickelberry MD Professional Corporation
NPI 1972772655ActiveOrganization· Family Medicine, Adult Medicine· Inglewood, CA
Family Medicine, Adult Medicine in Inglewood, California, registered in NPPES in February 2008. The authorized official on file is Bambi Lynn Nickelberry, M.D., Director/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972772655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2008 |
| Last updated in NPPES | Jun 21, 2022 |
| Certified by provider | Jun 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | G466791 | CA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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