Organization Active NPI

Housecall MD Medical Practice Management, LLC

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1073228177
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOUSECALL MD MEDICAL PRACTICE MANAGEMENT, LLC
Practice address
2051 N Highland Ave
Los Angeles, CA 90068-1373
Phone
(833) 432-5633
Fax
(833) 265-2088
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Tareva Marshall, JD
Title
Administrative and Legal Executive
Phone
(757) 768-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2051 N Highland Ave
Los Angeles, CA 90068-1373

Mailing address

1968 S Coast Hwy # 1469
Laguna Beach, CA 92651-3681
Phone (833) 432-5633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1073228177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 1469",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "833-432-5633",
            "fax_number": "833-265-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 N HIGHLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681373",
            "telephone_number": "833-432-5633",
            "fax_number": "833-265-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALL MD MEDICAL PRACTICE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "TAREVA",
        "authorized_official_title_or_position": "ADMINISTRATIVE AND LEGAL EXECUTIVE",
        "authorized_official_telephone_number": "757-768-9126",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.