Organization Active NPI

Medi-Cure Health Services

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1174789762
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEDI-CURE HEALTH SERVICES
Practice address
3756 Santa Rosalia Dr
417
Los Angeles, CA 90008-3606
Phone
(323) 295-1136
Fax
(323) 295-1071
NPI assigned
Aug 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Jo Kannike-Martins
Title
Executive Director
Phone
(323) 295-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3756 Santa Rosalia Dr
417
Los Angeles, CA 90008-3606

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1174789762",
    "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": "323-295-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "323-295-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-CURE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-02",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "KANNIKE-MARTINS",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-295-1136"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 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.