Concentra Primary Care of California

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONCENTRA PRIMARY CARE OF CALIFORNIA

Practice address

4934 Verdugo Way
Camarillo, CA 93012-8631

Phone

(805) 484-0095

Fax

(805) 388-2174

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

John Anderson

Title

VP

Phone

(972) 364-8000

Specialties & licenses 3

Addresses

Tax ID family

Concentra Primary Care of California3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Concentra Primary Care of California

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1760958367
  NPD tax ID
• Concentra Primary Care of California, a Medical Corporation

  • Primary Care Clinic/Center
  • Chino, CA
  • NPI 1073230900
  NPD tax ID

Locations

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1689140261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128631",
            "telephone_number": "805-484-0095",
            "fax_number": "805-388-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA PRIMARY CARE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Lee Collison
• Community Care and Hospice LLC
• Community Memorial Health System
• Community Memorial Health System
• Joe R Conahey, BT
• Conejo Hospice Care, Inc
• Michelle Christina Connant
• Ricardo Contreras
• Morgan Cook
• Stephanie Coons

• Primary Care Clinic/Center in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.