Organization Active NPI

Proactive Billing & Consulting

  • Skilled Nursing Facility
  • Panorama City, CA
National Provider Identifier
1093427171
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROACTIVE BILLING & CONSULTING
Practice address
14500 Roscoe Blvd
Panorama City, CA 91402-4190
Phone
(818) 262-6815
Fax
(760) 392-6674
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Vince Kach
Title
Ceo
Phone
(818) 262-6815

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Psychiatric Hospital 283Q00000X
Skilled Nursing Facility 314000000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

14500 Roscoe Blvd
Panorama City, CA 91402-4190

Mailing address

14500 Roscoe Blvd
Panorama City, CA 91402-4190
Phone (818) 262-6815

Other identifiers 1

IdentifierTypeStateIssuer
1093427171MedicaidCA

National Provider Directory

National Provider Directory

Locations

14500 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 714-2066

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1093427171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024190",
            "telephone_number": "818-262-6815",
            "fax_number": "760-392-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024190",
            "telephone_number": "818-262-6815",
            "fax_number": "760-392-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE BILLING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "KACH",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-262-6815"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093427171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

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