Organization Active NPI

Procare Medical Center Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1508875824
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W18308 Issued in CA
Legal business name
PROCARE MEDICAL CENTER INC.
Practice address
3755 Beverly Blvd
Suite 300
Los Angeles, CA 90004-5421
Phone
(323) 664-4234
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Marcel Filart, M.D.NPI 1396775474
Title
Medical Director
Phone
(213) 483-0050

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X W18308 CA Primary

Addresses

Primary practice location

3755 Beverly Blvd
Suite 300
Los Angeles, CA 90004-5421

Mailing address

3755 Beverly Blvd
Ste. 300
Los Angeles, CA 90004-3539
Phone (323) 664-4234

Other identifiers 1

IdentifierTypeStateIssuer
W18308OtherCAMEDICARE NUMBER

National Provider Directory

National Provider Directory

Locations

3755 Beverly Blvd
Ste 300
Los Angeles, CA 90004
Phone (323) 664-4232

4515 Eagle Rock Blvd
#S133C
Los Angeles, CA 90041
Phone (213) 483-0050

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1508875824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD",
            "address_2": "STE. 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "323-664-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045421",
            "telephone_number": "323-664-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "FILART",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-483-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "W18308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "W18308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2012; 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.