NPIMap

Organization Active NPI

California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
National Provider Identifier
1659357341
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33579 Issued in CA
Legal business name
CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC
Practice address
5700 Canoga Ave
Suite 500
Woodland Hills, CA 91367-6579
Phone
(800) 377-3606
Fax
(818) 595-8206
NPI assigned
Dec 15, 2005
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Raouf Khalil, MD
Title
Ceo
Phone
(818) 591-3435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33579 CA Primary

Addresses

Primary practice location

5700 Canoga Ave
Suite 500
Woodland Hills, CA 91367-6579

Mailing address

5700 Canoga Ave
Suite 500
Woodland Hills, CA 91367-6579
Phone (800) 377-3606

National Provider Directory

National Provider Directory

Locations

580 California St
Ste 1750
San Francisco, CA 94104
Phone (415) 402-0266

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1659357341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676579",
            "telephone_number": "800-377-3606",
            "fax_number": "818-595-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676579",
            "telephone_number": "800-377-3606",
            "fax_number": "818-595-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-591-3435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "33579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.