Active NPI
California Integrated Health
- Case Manager/Care Coordinator
- Henderson, NV
National Provider Identifier
1144724287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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 DirectoryLocations
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.