Active NPI
DM Clinical Collaborations
- Home Infusion Therapy Pharmacy
- Glendale, CA
National Provider Identifier
1437864758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- DM CLINICAL COLLABORATIONS
- Practice address
- 6108 San Fernando Rd
Glendale, CA 91201-2240 - Phone
- (877) 828-3940
- Fax
- (877) 828-3941
- NPI assigned
- Jan 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daynee Perez
- Title
- VP, Compliance
- Phone
- (877) 828-3940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary |
Addresses
Primary practice location
6108 San Fernando Rd
Glendale, CA 91201-2240
Mailing address
PO Box 2578
Secaucus, NJ 07096-2578
Phone (877) 828-3940
Other names 1
- InfuCare Rx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241108002639 | CA | Part B Supplier - Home Infusion Therapy Supplier | 8426373747 | Practice locations: Glendale, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- DM Clinical Collaborations
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Glendale, CA
- NPI 1336816669
-
- Home Infusion Therapy Pharmacy
- Glendale, CA
- NPI 1528462835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674172800000",
"number": "1437864758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2578",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070962578",
"telephone_number": "877-828-3940",
"fax_number": "877-828-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 SAN FERNANDO RD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012240",
"telephone_number": "877-828-3940",
"fax_number": "877-828-3941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DM CLINICAL COLLABORATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "DAYNEE",
"authorized_official_title_or_position": "VP, COMPLIANCE",
"authorized_official_telephone_number": "877-828-3940"
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "InfuCare Rx",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.