Individual provider Active NPI

Borady Ven, CASE MANAGER

  • Case Manager/Care Coordinator
  • Cerritos, CA
National Provider Identifier
1043337504
Registry record updated Oct 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11050 Artesia Blvd
Cerritos, CA 90703-2542
Phone
(562) 860-8838
Fax
(562) 860-0248
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

11050 Artesia Blvd
Cerritos, CA 90703-2542

Mailing address

605 W Olympic Blvd Ste 550
Los Angeles, CA 90015-1474
Phone (213) 553-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192233600000",
    "number": "1043337504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD STE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151474",
            "telephone_number": "213-553-1850",
            "fax_number": "213-553-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 ARTESIA BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032542",
            "telephone_number": "562-860-8838",
            "fax_number": "562-860-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEN",
        "first_name": "BORADY",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; 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.