Procare Mobile Response, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1885 Issued in CA

Legal business name

PROCARE MOBILE RESPONSE, LLC

Practice address

2702 Media Center Dr
Los Angeles, CA 90065-1733

Phone

(800) 676-0311

Fax

(800) 676-4133

NPI assigned

Jun 17, 2006

Last updated

Oct 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zinovy Ganopolsky

Title

Ceo

Phone

(800) 676-0311

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1467497172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 MEDIA CENTER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651733",
            "telephone_number": "800-676-0311",
            "fax_number": "800-676-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MEDIA CENTER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651733",
            "telephone_number": "800-676-0311",
            "fax_number": "800-676-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MOBILE RESPONSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "GANOPOLSKY",
        "authorized_official_first_name": "ZINOVY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-676-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01167F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryaun Proby
• Destyni Proby
• Kourage Proby, BCBA
• Procare Medical Center Inc.
• Procare Medical Supply Inc
• Procare, Ipa Inc
• Danika Prochaska, M.D.
• Procreate 4D LLC (procreate 4D)
• Natalie Procter
• Karen K Proctor, CPNP

• Land Ambulance in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.