Feliz Health Care, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

FELIZ HEALTH CARE, INC

Practice address

21310 Ravenna Ave
Carson, CA 90745-2143

Phone

(310) 724-2036

Fax

(310) 724-2036

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Anthony J Kautzman

Title

Owner / Licensee

Phone

(310) 514-3513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033376561. Details of each certification follow.

• CCN 05G930 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G930

Legal name

FELIZ HEALTH CARE CENTER II

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 21, 1995

Last certification

May 14, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

21310 South Ravenna Avenue
Carson, CA 90745

Tax ID family

Feliz Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Feliz Health Care, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cerritos, CA
  • NPI 1255415006
  NPD tax ID

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1033376561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 MOUNT RUSHMORE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751920",
            "telephone_number": "310-514-3513",
            "fax_number": "562-924-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21310 RAVENNA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452143",
            "telephone_number": "310-724-2036",
            "fax_number": "310-724-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIZ HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KAUTZMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / LICENSEE",
        "authorized_official_telephone_number": "310-514-3513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice Associates of Carson
• Family Practice Associates of Carson Medical Group Inc
• Cary Fang
• Johanna Fassbender
• Kelvin Deleno Felix
• Raulin Dadural Feria, APRN, FNP-BC
• Fulbert Brad Beltran Fernandez, PT
• Caitlynn Fernane
• Darren Ferns
• Jenny M Ferreira, HEALTH COACH

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carson, CA
• Providers in Carson, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.