NPIMap

Organization Active NPI

Usc Care Medical Group, Inc

Doing business as Usc Immunohistochemistry Laboratory

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1447821285
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
USC CARE MEDICAL GROUP, INC
Doing business as
Usc Immunohistochemistry Laboratory
Practice address
2011 Zonal Ave Ste 301
Los Angeles, CA 90089-1016
Phone
(323) 442-9879
NPI assigned
Jul 2, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
USC CARE MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Narsing A Rao, MD
Title
Vice Chair
Phone
(323) 442-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2011 Zonal Ave Ste 301
Los Angeles, CA 90089-1016

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-9879

Other practice location 1

2011 Zonal Ave Ste 312
Los Angeles, CA 90089-1016
Phone (323) 442-9879

Other practice location 2

2011 Zonal Ave Ste 310
Los Angeles, CA 90089-1016
Phone (323) 442-9879

Other practice location 3

2011 Zonal Ave Ste 308
Los Angeles, CA 90089-1016
Phone (323) 442-9879

Other practice location 4

2011 Zonal Ave Ste 302
Los Angeles, CA 90089-1016
Phone (323) 442-9879

Other practice location 5

2011 Zonal Ave Ste 303
Los Angeles, CA 90089-1016
Phone (323) 442-9879

Other names 1

  • USC IMMUNOHISTOCHEMISTRY LABORATORY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211215002388 CA Part B Supplier - Independent Clinical Laboratory 0446157747 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0928654Usc Care Medical Group, Inc2011 Zonal Ave Ste 210, Los Angeles, CA 90089AccreditationMar 20, 2028
05D1065390Usc Care Medical Group, Inc2011 Zonal Ave Ste 308B, Los Angeles, CA 90089AccreditationOct 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Usc Hlthcre Consult Ctr II13 organizations share this tax ID, including this one
Part of
Usc Hlthcre Consult Ctr II

Other organizations with this tax ID 12

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

Locations

2011 Zonal Ave
Ste 302
Los Angeles, CA 90089
Phone (323) 442-9879

2011 Zonal Ave
Ste 303
Los Angeles, CA 90089
Phone (323) 442-9879

2011 Zonal Ave
Ste 308
Los Angeles, CA 90089
Phone (213) 385-0105

2011 Zonal Ave
Ste 310
Los Angeles, CA 90089
Phone (323) 442-1156

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1447821285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ZONAL AVE STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891016",
            "telephone_number": "323-442-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Zonal Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891016",
            "country_code": "US",
            "telephone_number": "323-442-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Zonal Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891016",
            "country_code": "US",
            "telephone_number": "323-442-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Zonal Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891016",
            "country_code": "US",
            "telephone_number": "323-442-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Zonal Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891016",
            "country_code": "US",
            "telephone_number": "323-442-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 Zonal Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900891016",
            "country_code": "US",
            "telephone_number": "323-442-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USC CARE MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USC CARE MEDICAL GROUP, INC",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "NARSING",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE CHAIR",
        "authorized_official_telephone_number": "323-442-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC IMMUNOHISTOCHEMISTRY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "USC IMMUNOHISTOCHEMISTRY LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.