Organization Active NPI

Scan Health Plan

  • Case Management Agency
  • Signal Hill, CA
National Provider Identifier
1447400767
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SCAN HEALTH PLAN
Practice address
2501 Cherry Ave
Suite 380
Signal Hill, CA 90755-2031
Phone
(562) 637-7138
Fax
(562) 492-9236
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
David Schmidt
Title
Ceo
Phone
(562) 989-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2501 Cherry Ave
Suite 380
Signal Hill, CA 90755-2031

Mailing address

2501 Cherry Ave
Suite 380
Signal Hill, CA 90755-2031
Phone (562) 637-7138

Other identifiers 1

IdentifierTypeStateIssuer
MSS00005FMedicaidCA

Other names 1

  • Independence at Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Scan Health Plan R4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2501 Cherry Ave
Ste 380
Signal Hill, CA 90755
Phone (866) 421-1964

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1447400767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHERRY AVE",
            "address_2": "SUITE 380",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552031",
            "telephone_number": "562-637-7138",
            "fax_number": "562-492-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHERRY AVE",
            "address_2": "SUITE 380",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552031",
            "telephone_number": "562-637-7138",
            "fax_number": "562-492-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAN HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-989-5100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSS00005F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence at Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.