DSP Cca, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DSP CCA, INC.

Practice address

1815 E Workman Ave Ste D1
West Covina, CA 91791-1423

Phone

(626) 587-0028

Fax

(626) 587-0031

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Maricon Padua Parducho

Title

Owner/Chief Operating Officer

Phone

(626) 587-0028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1669236816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E WORKMAN AVE STE D1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911423",
            "telephone_number": "626-587-0028",
            "fax_number": "626-587-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E WORKMAN AVE STE D1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911423",
            "telephone_number": "626-587-0028",
            "fax_number": "626-587-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSP CCA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PARDUCHO",
        "authorized_official_first_name": "MARICON",
        "authorized_official_middle_name": "PADUA",
        "authorized_official_title_or_position": "OWNER/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "626-587-0028"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.