NPIMap

Organization Active NPI

Medi-Cure Health Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Pomona, CA
National Provider Identifier
1154765154
Registry record updated Apr 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190636 AN Issued in CA
Legal business name
MEDI-CURE HEALTH SERVICES, INC
Practice address
2211 N Orange Grove Ave
Pomona, CA 91767-2319
Phone
(323) 295-1136
Fax
(323) 195-1136
NPI assigned
Apr 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2013

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

Authorized official

Name
Dr. Josephine C. Kannike-Martins, PHD., RD
Title
Ceo/Executive Director
Phone
(323) 295-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 190636 AN CA Primary

Addresses

Primary practice location

2211 N Orange Grove Ave
Pomona, CA 91767-2319

Mailing address

3756 Santa Rosalia Dr
417
Los Angeles, CA 90008-3606
Phone (323) 295-1136

Other identifiers 1

IdentifierTypeStateIssuer
190636 ANOtherCAMEDI CAL

Other names 1

  • Palomares Academy Other name

National Provider Directory

National Provider Directory
Tax ID family
Medi-Cure Health Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366416000000",
    "number": "1154765154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR",
            "address_2": "417",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "323-295-1136",
            "fax_number": "323-295-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672319",
            "telephone_number": "323-295-1136",
            "fax_number": "323-195-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-CURE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-20",
        "last_updated": "2013-04-20",
        "status": "A",
        "authorized_official_last_name": "KANNIKE-MARTINS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-295-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., RD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190636 AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "190636 AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomares Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; 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.