Organization Active NPI

Excelcare Inc

Doing business as ExcelCare Pharmacy

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1174923544
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EXCELCARE INC
Doing business as
ExcelCare Pharmacy
Practice address
9252 Garden Grove Blvd Ste 1
Garden Grove, CA 92844-1436
Phone
(714) 554-1111
Fax
(714) 554-7777
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Amy Di
Title
President
Phone
(714) 417-7023

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9252 Garden Grove Blvd Ste 1
Garden Grove, CA 92844-1436

Mailing address

9252 Garden Grove Blvd Ste 1
Garden Grove, CA 92844-1436
Phone (714) 554-1111

Other identifiers 2

IdentifierTypeStateIssuer
2150972OtherPK
1174923544MedicaidCA

Other names 1

  • ExcelCare Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303003043 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1456667047 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

9252 Garden Grove Blvd
Ste 1
Garden Grove, CA 92844
Phone (714) 554-1111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1174923544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 GARDEN GROVE BLVD STE 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441436",
            "telephone_number": "714-554-1111",
            "fax_number": "714-554-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 GARDEN GROVE BLVD STE 1",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441436",
            "telephone_number": "714-554-1111",
            "fax_number": "714-554-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "DI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-417-7023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174923544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExcelCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ExcelCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.