Active NPI
Complete Infusion Care,Cic,Inc
- Home Infusion Therapy Pharmacy
- Los Angeles, CA
National Provider Identifier
1295823318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PHY46839
- Legal business name
- COMPLETE INFUSION CARE,CIC,INC
- Practice address
- 2310 S Sepulveda Blvd
Los Angeles, CA 90064-1911 - Phone
- (310) 836-6666
- Fax
- (310) 836-6675
- NPI assigned
- Oct 11, 2006
- 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
- Michael Houske
- Title
- General Counsel and Executive VP
- Phone
- (310) 836-6666
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | PHY46839 | CA | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2310 S Sepulveda Blvd
Los Angeles, CA 90064-1911
Mailing address
2310 S Sepulveda Blvd
Los Angeles, CA 90064-1911
Phone (310) 836-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA468390 | Medicaid | CA |
Other names 1
- COMPLETE INFUSION CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099011 | CA | DME Supplier - Pharmacy | 9537379359 | Practice locations: Los Angeles, CA |
| O20170824002769 | CA | Part B Supplier - Pharmacy | 9537379359 | Practice locations: Los Angeles, CA |
| O20211229002448 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9537379359 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Complete Infusion Carecicinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Los Angeles, CA
- NPI 1235758095
Locations
8588 Venice Blvd
Los Angeles, CA 90034
Phone (310) 836-6666
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pharmacy
- Los Angeles, CA
- NPI 1235758095
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Los Angeles, CA
- NPI 1912572173
-
- Pharmacist
- North Hollywood, CA
- NPI 1013213990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1295823318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641911",
"telephone_number": "310-836-6666",
"fax_number": "310-836-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 S SEPULVEDA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641911",
"telephone_number": "310-836-6666",
"fax_number": "310-836-6675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE INFUSION CARE,CIC,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "HOUSKE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "GENERAL COUNSEL AND EXECUTIVE VP",
"authorized_official_telephone_number": "310-836-6666"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "CA",
"license": "PHY46839",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA468390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPLETE INFUSION CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Complete Care Community Health Center, Inc
- Complete Claims Processing, Inc
- Complete Eye Care Center
- Complete Eye Care Center
- Complete Infusion Care,Cic,Inc
- Complete Interpreting, LLC
- Complete P T Pool and Land Physical Therapy Inc
- Goli S. Compoginis, M.D.
- Compounding Pharmacy Associates and Consultants Inc
- Compre Care Medical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.