NPIMap

Organization Active NPI

Aleracare Medical Group of California, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Encino, CA
National Provider Identifier
1104432673
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALERACARE MEDICAL GROUP OF CALIFORNIA, A MEDICAL CORPORATION
Practice address
17777 Ventura Blvd Ste 220
Encino, CA 91316-3748
Phone
(888) 209-8874
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Marianne Labarbera, MD
Title
President
Phone
(888) 209-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

17777 Ventura Blvd Ste 220
Encino, CA 91316-3748

Mailing address

7039 Valjean Ave Ste a
Van Nuys, CA 91406-3915
Phone (800) 609-3123

Other names 1

  • AleraCare Medical Group of California Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203002955 CA Part B Supplier - Clinic/Group Practice 5991138091 Receives reassigned benefits from 18 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berkeley, CA; Van Nuys, CA; Stockton, CA; Sherman Oaks, CA; Santa Monica, CA; San Jose, CA; Roseville, CA; Mountain View, CA…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Locations

17777 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (516) 350-0436

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1104432673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7039 VALJEAN AVE STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063915",
            "telephone_number": "800-609-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163748",
            "telephone_number": "888-209-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALERACARE MEDICAL GROUP OF CALIFORNIA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-209-8874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AleraCare Medical Group of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.