NPIMap

Organization Active NPI

Compassionate Critical Care Group, Inc.

  • Pulmonary Disease Physician
  • Woodland Hills, CA
National Provider Identifier
1295332633
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
COMPASSIONATE CRITICAL CARE GROUP, INC.
Doing business as
Compassionate Critical Care Group, Inc.
Practice address
22543 Ventura Blvd Ste 220
Woodland Hills, CA 91364-1403
Phone
(805) 383-9811
Fax
(805) 987-5727
NPI assigned
Oct 8, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Dawn Mazza
Title
Biller
Phone
(805) 383-9811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

22543 Ventura Blvd Ste 220
Woodland Hills, CA 91364-1403

Mailing address

22543 Ventura Blvd Unit 220-401
Woodland Hills, CA 91364-1412
Phone (805) 383-9811

Other identifiers 1

IdentifierTypeStateIssuer
1619105426OtherCAOTHER

Other names 1

  • Compassionate Critical Care Group, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211000955 CA Part B Supplier - Clinic/Group Practice 2668884842 Receives reassigned benefits from 20 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

22543 Ventura Blvd
Ste 220
Woodland Hills, CA 91364
Phone (747) 263-8551

22543 Ventura Blvd
Unit 220401
Woodland Hills, CA 91364

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1295332633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22543 VENTURA BLVD UNIT 220-401",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641412",
            "telephone_number": "805-383-9811",
            "fax_number": "805-978-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22543 VENTURA BLVD STE 220",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641403",
            "telephone_number": "805-383-9811",
            "fax_number": "805-987-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CRITICAL CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "805-383-9811"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1619105426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Critical Care Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassionate Critical Care Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.