Organization Active NPI

California Integrated Health

  • Case Manager/Care Coordinator
  • Henderson, NV
National Provider Identifier
1144724287
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CALIFORNIA INTEGRATED HEALTH
Practice address
2200 Paseo Verde Pkwy Ste 280
Henderson, NV 89052-2703
Phone
(310) 444-4300
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Susan Etzel
Title
SVP of Finance
Phone
(310) 444-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2200 Paseo Verde Pkwy Ste 280
Henderson, NV 89052-2703

Mailing address

2200 Paseo Verde Pkwy Ste 280
Henderson, NV 89052-2703
Phone (310) 444-4300

National Provider Directory

National Provider Directory

Locations

11601 Wilshire Blvd
Ste 1100
Los Angeles, CA 90025

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1144724287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 280",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "310-444-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 280",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "310-444-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INTEGRATED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "ETZEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SVP OF FINANCE",
        "authorized_official_telephone_number": "310-444-4307"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.