Covid-19 Testing Centers, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COVID-19 TESTING CENTERS, INC.

Practice address

1455 N Avalon Blvd
Wilmington, CA 90744-1506

Phone

(855) 568-4319

NPI assigned

Jan 4, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo D Miranda

Title

Executive

Phone

(855) 568-4319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1659969939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441506",
            "telephone_number": "855-568-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441506",
            "telephone_number": "855-568-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID-19 TESTING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "855-568-4319"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Los Angeles (Los Angeles Co Wilmington HLTH Ctr Phy)
• County of Los Angeles Auditor Controller (Wilmington Subcenter)
• County of Los Angeles Auditor Controller (Wilmington Subcenter)
• County of Los Angeles Auditor Controller (Wilmington Subcenter)
• County of Los Angeles Auditor Controller (Wilmington Subcenter)
• Anqoinette Crowder-Jones, MSW
• Damaaru, Inc.
• Laneatra De Hughes
• Josephine De la Cruz, M.A. BCBA
• Elizabeth De la Pena

• Family Medicine Physician in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.