Organization Active NPI

Integracare LLC

  • Case Manager/Care Coordinator
  • El Cajon, CA
National Provider Identifier
1649010240
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
INTEGRACARE LLC
Practice address
2112 Eucalyptus Dr
El Cajon, CA 92021-4321
Phone
(619) 902-8287
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Aaron Fryar-Parajon
Title
Coo/Founder
Phone
(619) 902-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2112 Eucalyptus Dr
El Cajon, CA 92021-4321

Mailing address

2112 Eucalyptus Dr
El Cajon, CA 92021-4321
Phone (619) 902-8287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1649010240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 EUCALYPTUS DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214321",
            "telephone_number": "619-902-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 EUCALYPTUS DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214321",
            "telephone_number": "619-902-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "FRYAR-PARAJON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "COO/FOUNDER",
        "authorized_official_telephone_number": "619-902-8287"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.