Superior Care Medical Cener

Primary specialty

ParamedicTaxonomy code 146L00000X

License

A22315 Issued in CA

Legal business name

SUPERIOR CARE MEDICAL CENER

Practice address

15401 S Main St
Gardena, CA 90248-2214

Phone

(310) 225-3640

Fax

(310) 225-3644

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Macias

Title

Practice Manager

Phone

(310) 225-3640

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1033529250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482214",
            "telephone_number": "310-225-3640",
            "fax_number": "310-225-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482214",
            "telephone_number": "310-225-3640",
            "fax_number": "310-225-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE MEDICAL CENER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "310-225-3640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "A22315",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A22315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angeline Amy Swain
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• Paramedic in Gardena, CA
• Providers in Gardena, CA by specialty
• Paramedic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.