Organization Active NPI

Truecare Medical Clinic Inc

  • Geriatric Medicine (Family Medicine) Physician
  • N Hollywood, CA
National Provider Identifier
1508648957
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
TRUECARE MEDICAL CLINIC INC
Practice address
10738 Riverside Dr Ste a
N Hollywood, CA 91602-2372
Phone
(818) 505-3292
NPI assigned
Oct 19, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Oleg Liakhovetski, MDNPI 1154584316
Title
Ceo/Medical Director
Phone
(818) 505-3292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

10738 Riverside Dr Ste a
N Hollywood, CA 91602-2372

Mailing address

10738 Riverside Dr Ste a
N Hollywood, CA 91602-2372
Phone (818) 505-3292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116000384 CA Part B Supplier - Clinic/Group Practice 3779930557 Receives reassigned benefits from 1 practitioner
Practice locations: N Hollywood, CA

National Provider Directory

National Provider Directory

Locations

10738 Riverside Dr
Ste A
Toluca Lake, CA 91602
Phone (818) 505-3292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1508648957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-505-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-505-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUECARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "LIAKHOVETSKI",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-505-3292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.