NPIMap

Organization Active NPI

Supplemental Health Care

  • General Acute Care Hospital
  • Carson, CA
National Provider Identifier
1295906733
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
539 Issued in CA
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
1 Civic Plaza Dr Ste 625
Carson, CA 90745-7986
Phone
(310) 549-4500
NPI assigned
Mar 12, 2008
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mrs. Tamrie Lynn Freeman
Title
Physical Therpist Assistant
Phone
(310) 549-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 539 CA Primary

Addresses

Primary practice location

1 Civic Plaza Dr Ste 625
Carson, CA 90745-7986

Mailing address

9625 S 8TH Ave
Inglewood, CA 90305-3242
Phone (323) 756-2272

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN

National Provider Directory

National Provider Directory
Tax ID family
Supplemental Health Care42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1295906733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 S 8TH AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903053242",
            "telephone_number": "323-756-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC PLAZA DR STE 625",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457986",
            "telephone_number": "310-549-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TAMRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERPIST ASSISTANT",
        "authorized_official_telephone_number": "310-549-4500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "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 21, 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.