Collabracare Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COLLABRACARE INC.

Practice address

12110 Slauson Ave Ste 15
Santa Fe Springs, CA 90670-8655

Phone

(323) 524-9348

Fax

(323) 784-2991

NPI assigned

Sep 26, 2023

Last updated

Aug 6, 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

Yadenitza Gonzalez

Title

Administrator

Phone

(562) 213-5226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1689453896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 SLAUSON AVE STE 15",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906708655",
            "telephone_number": "323-524-9348",
            "fax_number": "323-784-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 SLAUSON AVE STE 15",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906708655",
            "telephone_number": "323-524-9348",
            "fax_number": "323-784-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABRACARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YADENITZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-213-5226"
    },
    "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 Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 Aug 6, 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.