Organization Active NPI

Central City Healthcare,LLC

  • Nursing Care Agency
  • Carson, CA
National Provider Identifier
1235429671
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CENTRAL CITY HEALTHCARE,LLC
Practice address
368 W 231St St
Carson, CA 90745-4714
Phone
(310) 897-3500
Fax
(206) 337-4636
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mr. Billy Geron Bombarda
Title
Cfo
Phone
(310) 897-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD1100X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

368 W 231St St
Carson, CA 90745-4714

Mailing address

368 W 231St St
Carson, CA 90745-4714
Phone (310) 897-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1235429671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W 231ST ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454714",
            "telephone_number": "310-897-3500",
            "fax_number": "206-337-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W 231ST ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454714",
            "telephone_number": "310-897-3500",
            "fax_number": "206-337-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "BOMBARDA",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "GERON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-897-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.