NPIMap

Organization Active NPI

Care Level Management Medical Group of Pennsylvania PC

  • General Practice Physician
  • Media, PA
National Provider Identifier
1306950704
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC
Practice address
1400 N Providence Rd
Suite 1025
Media, PA 19063-2043
Phone
(610) 892-8991
Fax
(610) 892-8966
NPI assigned
Aug 19, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Michelle Johnson
Title
Sr Staffing Coordinator
Phone
(818) 595-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1400 N Providence Rd
Suite 1025
Media, PA 19063-2043

Mailing address

5700 Canoga Ave
Suite 500
Woodland Hills, CA 91367-6582
Phone (800) 377-3606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306950704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676582",
            "telephone_number": "800-377-3606",
            "fax_number": "818-595-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N PROVIDENCE RD",
            "address_2": "SUITE 1025",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632043",
            "telephone_number": "610-892-8991",
            "fax_number": "610-892-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SR STAFFING COORDINATOR",
        "authorized_official_telephone_number": "818-595-8180"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.