Organization Active NPI

Advance Care Services Inc

Doing business as Care Plus Pharmacy

  • Community/Retail Pharmacy
  • Riverside, CA
National Provider Identifier
1649637315
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53939 Issued in CA
Legal business name
ADVANCE CARE SERVICES INC
Doing business as
Care Plus Pharmacy
Practice address
4990 Arlington Ave Ste a
Riverside, CA 92504-2757
Phone
(951) 324-1610
Fax
(951) 324-1605
NPI assigned
Jan 26, 2016
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Badal Satasia
Title
President
Phone
(951) 324-1610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53939 CA Primary

Addresses

Primary practice location

4990 Arlington Ave Ste a
Riverside, CA 92504-2757

Mailing address

4990 Arlington Ave
Unit a
Riverside, CA 92504-2757
Phone (951) 324-1610

Other identifiers 2

IdentifierTypeStateIssuer
1649637315MedicaidCA
2157606OtherPK

Other names 1

  • CARE PLUS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210924002989 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6002213543 Practice locations: Riverside, CA
O20220201000398 CA DME Supplier - Pharmacy 6002213543 Practice locations: Riverside, CA

National Provider Directory

National Provider Directory
Tax ID family
Advance Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4990 Arlington Ave
Ste A
Riverside, CA 92504
Phone (817) 733-1628

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1649637315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 ARLINGTON AVE",
            "address_2": "UNIT A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042757",
            "telephone_number": "951-324-1610",
            "fax_number": "951-324-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042757",
            "telephone_number": "951-324-1610",
            "fax_number": "951-324-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "SATASIA",
        "authorized_official_first_name": "BADAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-324-1610"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649637315",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157606",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE PLUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARE PLUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.