Primary Care Associates of California

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PRIMARY CARE ASSOCIATES OF CALIFORNIA

Practice address

4909 Lakewood Blvd Ste 200
Lakewood, CA 90712-2434

Phone

(562) 602-1563

Fax

(562) 663-1464

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By 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

Mrs. Cynthia Guzman, CPA

Title

Ceo

Phone

(562) 602-1563

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1477792273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122434",
            "telephone_number": "562-602-1563",
            "fax_number": "562-663-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 LAKEWOOD BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122434",
            "telephone_number": "562-602-1563",
            "fax_number": "562-663-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-602-1563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Powers, M.S.
• Rajendra Prasad, M.D.
• Premier Aco Physicians Network, Inc
• Premier Health Plan Services, Inc.
• Prep Ed Programs Inc. (P.E.P. Inc.)
• Rose Primus
• Kim Prodger, LCSW
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group Inc

• Exclusive Provider Organization in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.