Groupo Aquila

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GROUPO AQUILA

Doing business as

Extended Healthcare Systems

Practice address

400 Corporate Pointe Ste 300
Culver City, CA 90230-7620

Phone

(213) 380-1399

Fax

(213) 380-4046

NPI assigned

Feb 14, 2023

Last updated

Aug 15, 2024By 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

Damon F Clark

Title

President

Phone

(213) 380-1399

Specialties & licenses 1

Addresses

Other names 1

• Extended Healthcare Systems Doing business as

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1669179206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307620",
            "telephone_number": "213-380-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307620",
            "telephone_number": "213-380-1399",
            "fax_number": "213-380-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUPO AQUILA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-380-1399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extended Healthcare Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Extended Healthcare Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ann Grogan
• Elliot Gross, M.D.
• Robert Alan Gross, MD
• Frederick M Grossman, MD
• Merlyn Ann Grossman, NP
• Gregory Grunke
• Barbara Guadarrama
• Nicandor Guajardo
• Sabrina Silvia Guedalia
• Griff C Guenther, LMFT

• Home Health Agency in Culver City, CA
• Providers in Culver City, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.