Organization Active NPI

Care Medical Office a California Corporation

  • Exclusive Provider Organization
  • Pico Rivera, CA
National Provider Identifier
1144326166
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A46188 Issued in CA
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

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Roberto Luarca, M.D.NPI 1740527944
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0069610MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000617 CA Part B Supplier - Clinic/Group Practice 0749174357 Receives reassigned benefits from 1 practitioner
Practice locations: Montebello, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.