NPIMap

Organization Active NPI

Optumcare Management, LLC

Doing business as HealthCare Partners - Lakewood

  • Non-Pharmacy Dispensing Site
  • Lakewood, CA
National Provider Identifier
1023339165
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
C38824 Issued in CA
Legal business name
OPTUMCARE MANAGEMENT, LLC
Doing business as
HealthCare Partners - Lakewood
Practice address
5001 Lakewood Blvd
Lakewood, CA 90712-2412
Phone
(562) 361-5650
NPI assigned
Jun 11, 2010
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John G. Liethen
Title
Secretary
Phone
(952) 205-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X C38824 CA Primary

Addresses

Primary practice location

5001 Lakewood Blvd
Lakewood, CA 90712-2412

Mailing address

P.O. Box 6400
Torrance, CA 90504-6400

Other names 1

  • HealthCare Partners - Lakewood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optumcare Management LLC11 organizations share this tax ID, including this one
Part of
Medvantx Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1023339165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6400",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905046400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LAKEWOOD BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122412",
            "telephone_number": "562-361-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMCARE MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-06-11",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LIETHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-205-6262"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "C38824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Partners - Lakewood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthCare Partners - Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.