NPIMap

Organization Active NPI

Caremore Health Plan

  • Family Nurse Practitioner
  • Brea, CA
National Provider Identifier
1053784512
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A90047 Issued in CA
Legal business name
CAREMORE HEALTH PLAN
Practice address
420 W. Central Avenue #a
Brea, CA 92821
Phone
(714) 529-3971
NPI assigned
Nov 5, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tea J Park
Title
MD
Phone
(714) 529-3971

Corporate family (same tax ID) 36

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

View all 36

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Caremore Health Plan (37 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A90047 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

420 W. Central Avenue #a
Brea, CA 92821

Mailing address

420 W. Central Avenue #a
Brea, CA 92821
Phone (714) 529-3971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2015.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1053784512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W. CENTRAL AVENUE #A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-529-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W. CENTRAL AVENUE #A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-529-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMORE HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "TEA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-529-3971"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "A90047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.