NPIMap

Organization Active NPI

Total Care Mobile Medical Unit

Doing business as Total Care Medical Clinic lnc

  • Ph.D. Medical Genetics
  • Los Angeles, CA
National Provider Identifier
1144778440
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
550002631 Issued in CA
Legal business name
TOTAL CARE MOBILE MEDICAL UNIT
Doing business as
Total Care Medical Clinic lnc
Practice address
10024 S Vermont Ave
Los Angeles, CA 90044-3112
Phone
(323) 756-1412
Fax
(323) 756-1413
NPI assigned
Sep 14, 2016
Organization subpart
Yes
Parent organization
TOTAL CARE MEDICAL CLINIC LNCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Carmen Brown, DO
Title
Manager
Phone
(323) 756-1412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X 550002631 CA Primary
Non-emergency Medical Transport (VAN) 343900000X 550002631 CA

Addresses

Primary practice location

10024 S Vermont Ave
Los Angeles, CA 90044-3112

Mailing address

10024 S Vermont Ave
Los Angeles, CA 90044-3112
Phone (323) 756-1412

Other identifiers 1

IdentifierTypeStateIssuer
550002631MedicaidCA

Other names 1

  • Total Care Medical Clinic lnc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Total Care Medical Clinic2 organizations share this tax ID, including this one
Part of
Total Care Medical Clinic

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1144778440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-756-1412",
            "fax_number": "323-756-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-756-1412",
            "fax_number": "323-756-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MOBILE MEDICAL UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL CARE MEDICAL CLINIC LNC",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-756-1412",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "550002631",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "550002631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550002631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Medical Clinic lnc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 14, 2016; 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.