Careathome Medical Practice Ca PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CAREATHOME MEDICAL PRACTICE CA PC

Practice address

4695 Macarthur CT FL 11
Newport Beach, CA 92660-1882

Phone

(888) 553-2823

NPI assigned

Sep 14, 2021

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Jasser, MDNPI 1043339930

Title

Chief Medical Officer

Phone

(602) 663-8228

Specialties & licenses 7

Addresses

Locations

Practitioners 33

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.

• Joseph Jasser, M.D.

  • Internal Medicine Physician
  • Southlake, TX
  • NPI 1043339930
  Authorized official Same address or phone
• Ngozi Anyanacho, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
  • NPI 1760989834

  Single Specialty

  NPD
• Yana Drukin, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1407331739
  NPD
• Lilly Fung, NP

  • Family Nurse Practitioner
  • San Leandro, CA
  • NPI 1548540727
  NPD
• Michelle Garcia, APN

  • Nurse Practitioner
  • Laguna Hills, CA
  • NPI 1487012811
  NPD
• Glenmore Hendricks, NP

  • Nurse Practitioner
  • Riverside, CA
  • NPI 1720293277
  NPD
• Novella Hicks, MSW

  • Mental Health Counselor
  • Costa Mesa, CA
  • NPI 1932391810
  NPD
• Ha Le, FNP

  • Nurse Practitioner
  • San Francisco, CA
  • NPI 1407410400
  NPD
• Aboo Nasar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1871533380
  NPD
• Tam Hoang Nguyen, D.O.

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1962520478
  NPD
• James Warren Reznick, DO

  • Cardiovascular Disease Physician
  • Newport Beach, CA
  • NPI 1659376689

  Internal Medicine

  NPD
• Tony Toan Ngoc Tran, D.O.

  • Psychiatry Physician
  • Garden Grove, CA
  • NPI 1053750265
  NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1306516174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 2817",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT FL 11",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "888-553-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 SW Greenburg Rd Ofc 479",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972235500",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Anton Blvd Fl 11",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267100",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREATHOME MEDICAL PRACTICE CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "JASSER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "602-663-8228",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.