Caresite Health LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

1578548822 Issued in CA

Legal business name

CARESITE HEALTH LLC

Practice address

28125 Bradley Rd
Suite 260B
Menifee, CA 92586-2248

Phone

(855) 392-6411

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Gustafson

Title

Chief Executive Officer

Phone

(855) 392-6411

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1215319249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28125 BRADLEY RD",
            "address_2": "SUITE 260B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862248",
            "telephone_number": "855-392-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28125 BRADLEY RD",
            "address_2": "SUITE 260B",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862248",
            "telephone_number": "855-392-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESITE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "855-392-6411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "1578548822",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "1578548822",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryana Melyssa Campos
• Irene Campos
• Delfina Canete
• Jacqueline Cardenas
• Porsche Marie Cardona-James
• Emma Leigh Carlsen
• Karen Carmona
• Carolyn Ghazal and Minh Pham Dental Corporation
• Blake Caropino, DC
• Rosalyn Carroll

• Mobile Radiology Clinic/Center in Menifee, CA
• Providers in Menifee, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.