NPIMap

Organization Active NPI

Medi-Cure Health Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Pomona, CA
National Provider Identifier
1407290505
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190636AN Issued in CA
Legal business name
MEDI-CURE HEALTH SERVICES INC
Practice address
1151 Fairplex Dr
Pomona, CA 91768-1247
Phone
(323) 295-1136
Fax
(323) 295-1071
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Josephine C Kannike-Martins, PHD., RD
Title
Executive Director/Ceo
Phone
(323) 295-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 190636AN CA Primary

Addresses

Primary practice location

1151 Fairplex Dr
Pomona, CA 91768-1247

Mailing address

3756 Santa Rosalia Dr
417
Los Angeles, CA 90008-3606
Phone (323) 295-1136

Other identifiers 1

IdentifierTypeStateIssuer
190636ANOtherCAMEDICAL

Other names 1

  • Ganesha High School Other name

National Provider Directory

National Provider Directory
Tax ID family
Medi-Cure Health Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

3756 Santa Rosalia Dr
Ste 417
Los Angeles, CA 90008

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1407290505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR",
            "address_2": "417",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "323-295-1136",
            "fax_number": "323-295-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 FAIRPLEX DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681247",
            "telephone_number": "323-295-1136",
            "fax_number": "323-295-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-CURE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "KANNIKE-MARTINS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "323-295-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., RD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190636AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "190636AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ganesha High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.