NPIMap

Organization Active NPI

Immaculate Care Center Inc.

  • Health Maintenance Organization
  • Moreno Valley, CA
National Provider Identifier
1649442831
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
IMMACULATE CARE CENTER INC.
Practice address
24384 Sunnymead Blvd Ste.240
Moreno Valley, CA 92553
Phone
(951) 243-0303
Fax
(951) 243-3006
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Ms. Doryce M. Aguirre, RASI
Title
Supervisor
Phone
(951) 243-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

24384 Sunnymead Blvd Ste.240
Moreno Valley, CA 92553

Mailing address

24384 Sunnymead Blvd Ste 240
Moreno Valley, CA 92553-7765
Phone (951) 243-0303

National Provider Directory

National Provider Directory
Tax ID family
Immaculate Care Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1649442831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24384 SUNNYMEAD BLVD STE 240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537765",
            "telephone_number": "951-243-0303",
            "fax_number": "951-243-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24384 SUNNYMEAD BLVD STE.240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-243-0303",
            "fax_number": "951-243-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "DORYCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "951-243-0303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RASI"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.