Active NPI
Central City Healthcare,LLC
- Nursing Care Agency
- Carson, CA
National Provider Identifier
1235429671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peritoneal Dialysis Registered Nurse | 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 DirectoryNPI 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.