Active NPI
Care Medical Office a California Corporation
- Exclusive Provider Organization
- Pico Rivera, CA
National Provider Identifier
1144326166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- A46188
- Legal business name
- CARE MEDICAL OFFICE A CALIFORNIA CORPORATION
- Practice address
- 6766 Passons Blvd Ste a
Pico Rivera, CA 90660-3632 - Phone
- (562) 949-7979
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto Luarca, M.D.
- Title
- Owner
- Phone
- (562) 949-7979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | A46188 | CA | Primary |
Addresses
Primary practice location
6766 Passons Blvd Ste a
Pico Rivera, CA 90660-3632
Mailing address
6766 Passons Blvd Ste a
Pico Rivera, CA 90660-3632
Phone (562) 949-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040212000617 | CA | Part B Supplier - Clinic/Group Practice | 0749174357 |
Receives reassigned benefits from 1 practitioner Practice locations: Montebello, CA |
National Provider Directory
National Provider DirectoryLocations
6766 Passons Blvd
Ste A
Pico Rivera, CA 90660
Phone (562) 949-7979
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Montebello, CA
- NPI 1740527944
CA, Exclusive Provider Organization
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379548800000",
"number": "1144326166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6766 PASSONS BLVD STE A",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603632",
"telephone_number": "562-949-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6766 PASSONS BLVD STE A",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603632",
"telephone_number": "562-949-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE MEDICAL OFFICE A CALIFORNIA CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2013-09-19",
"status": "A",
"authorized_official_last_name": "LUARCA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-949-7979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CA",
"license": "A46188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.