NPIMap

Organization Active NPI

California Care Corp.

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1114291580
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CALIFORNIA CARE CORP.
Practice address
5930 S Main St
Ste.104
Los Angeles, CA 90003-1201
Phone
(818) 551-0026
NPI assigned
Mar 2, 2012
Organization subpart
Yes
Parent organization
CALIFORNIA CARE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. Vardan Mnatsakanyan
Title
President
Phone
(818) 551-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

5930 S Main St
Ste.104
Los Angeles, CA 90003-1201

Mailing address

5930 S Main St
Ste.104
Los Angeles, CA 90003-1201
Phone (818) 551-0026

National Provider Directory

National Provider Directory
Tax ID family
California Care Corp7 organizations share this tax ID, including this one
Part of
California Care Corp

Other organizations with this tax ID 6

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

Locations

5930 S Main St
Ste 104
Los Angeles, CA 90003
Phone (323) 372-5900

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": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1114291580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 S MAIN ST",
            "address_2": "STE.104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031201",
            "telephone_number": "818-551-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 S MAIN ST",
            "address_2": "STE.104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031201",
            "telephone_number": "818-551-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA CARE CORP.",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-551-0026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "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 Mar 2, 2012; 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.