Organization Active NPI

Complete Infusion Care,Cic,Inc

  • Home Infusion Therapy Pharmacy
  • Los Angeles, CA
National Provider Identifier
1295823318
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY46839 Issued in CA
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

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA468390MedicaidCA

Other names 1

  • COMPLETE INFUSION CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Carecicinc2 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.

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.