NPIMap

Organization Active NPI

Reliable Care Medical Group AMC PC

  • Nurse Practitioner
  • National City, CA
National Provider Identifier
1538710033
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RELIABLE CARE MEDICAL GROUP AMC PC
Practice address
1419 E 8TH St
National City, CA 91950-2602
Phone
(619) 718-1743
Fax
(619) 878-6365
NPI assigned
Sep 25, 2019
Organization subpart
Yes
Parent organization
RELIABLE CARE MEDICAL GROUP AMC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Aracely FloresNPI 1538695333
Title
Ceo
Phone
(619) 718-1743

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1419 E 8TH St
National City, CA 91950-2602

Mailing address

1419 E 8TH St
National City, CA 91950-2602
Phone (619) 718-1743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029003379 CA Part B Supplier - Clinic/Group Practice 8022340785 Receives reassigned benefits from 5 practitioners
Practice locations: National City, CA

National Provider Directory

National Provider Directory
Part of
Reliable Care Medical GRP

Locations

1419 E 8th St
National City, CA 91950
Phone (619) 718-1743

Practitioners & affiliated clinicians

Practitioners 9

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": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1538710033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 E 8TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502602",
            "telephone_number": "619-718-1743",
            "fax_number": "619-878-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 E 8TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502602",
            "telephone_number": "619-718-1743",
            "fax_number": "619-878-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE CARE MEDICAL GROUP AMC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIABLE CARE MEDICAL GROUP AMC PC",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-718-1743"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.