California Club Diagnostic Center, LLC.

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

CALIFORNIA CLUB DIAGNOSTIC CENTER, LLC.

Practice address

850 Ives Dairy Rd
Suite # 14
North Miami Beach, FL 33179-2450

Phone

(305) 405-0365

Fax

(305) 405-0370

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Alexander Baranov

Title

Manager

Phone

(305) 405-0365

Specialties & licenses 1

Addresses

Tax ID family

California Club Diagnostic Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Club Diagnostics Center, LLC.

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1851400931
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Ballesteros, M.D.,

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1851333835
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275664336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD",
            "address_2": "SUITE # 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD",
            "address_2": "SUITE # 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CLUB DIAGNOSTIC CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARANOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-405-0365"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&L Medical Services Inc
• Isabella Cabal Gonzalez
• Claudia Cabrera Hernandez, MD
• Luis Rene Cabrera, MD
• Reinold Cabreras
• California Club Diagnostics Center, LLC.
• California Club Medical Center LLC
• Jessica Kathleen Camarillo, BA, BCABA
• Jayne Cambas, BAS CCS
• Karen S Campbell

• Other Technician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.