Organization Active NPI

Procare Network Inc

  • Non-emergency Medical Transport (VAN)
  • Carson, CA
National Provider Identifier
1265968564
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
CA 503159 Issued in CA
Legal business name
PROCARE NETWORK INC
Practice address
500 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3225
Phone
(866) 837-3087
Fax
(323) 484-2119
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Ibrahim O Adekeye
Title
Manager
Phone
(866) 837-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X CA 503159 CA Primary

Addresses

Primary practice location

500 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3225

Mailing address

500 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3225
Phone (866) 837-3087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1265968564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CARSON PLAZA DR",
            "address_2": "SUITE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463225",
            "telephone_number": "866-837-3087",
            "fax_number": "323-484-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CARSON PLAZA DR",
            "address_2": "SUITE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463225",
            "telephone_number": "866-837-3087",
            "fax_number": "323-484-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "ADEKEYE",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "866-837-3087"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "CA 503159",
            "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 May 5, 2017; 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.