Ca Reliable Medical Syst Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000581 Issued in CA

Legal business name

CA RELIABLE MEDICAL SYST INC

Doing business as

Elm ADHC

Practice address

1220 Elm Ave
Imperial Beach, CA 91932-2311

Phone

(619) 271-1278

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Braverman

Title

President

Phone

(323) 333-5383

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elm ADHC Doing business as

Tax ID family

Ca Reliable Medical Syst Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ca Reliable Medical Systems, Inc,

  dba Golden Life ADHC

  • Adult Day Care Clinic/Center
  • San Diego, CA
  • NPI 1093921900
  NPD tax ID

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1164615704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 RED CEDAR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311310",
            "telephone_number": "858-776-1468",
            "fax_number": "760-653-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ELM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322311",
            "telephone_number": "619-271-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA RELIABLE MEDICAL SYST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-333-5383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "ADU70319F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Kasi Bodiford, MD
• Magdalena Bojarczak
• Sarah Elizabeth Bradley, MSW, LCSW
• Angela Marie Brignole
• Daisy Bueno, RN, BSN
• Heather Ann Roberts Calzada
• Andrew Jerrod Campbell
• Mirna Canizalez
• Andres Felipe Casallas, DDS
• Faith Pauline Chisum, MD

• Adult Day Care Clinic/Center in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.