NPIMap

Organization Active NPI

Medi-Cure Health Services, Inc

  • Community/Behavioral Health Agency
  • Pomona, CA
National Provider Identifier
1700225877
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190636AN Issued in CA
Legal business name
MEDI-CURE HEALTH SERVICES, INC
Practice address
1460 E Holt Ave
Pomona, CA 91767-5856
Phone
(323) 295-1136
Fax
(323) 295-1071
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Josephine C Kannike-Martins, PHD., RD
Title
Ceo/Executuve Director
Phone
(323) 295-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190636AN CA Primary

Addresses

Primary practice location

1460 E Holt Ave
Pomona, CA 91767-5856

Mailing address

3756 Santa Rosalia Dr Ste 417
Los Angeles, CA 90008-3614
Phone (323) 295-1136

Other identifiers 1

IdentifierTypeStateIssuer
190636ANOtherCADRUG MIDICAL

Other names 1

  • Pomona Alternative School Other name

National Provider Directory

National Provider Directory
Tax ID family
Medi-Cure Health Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1460 E Holt Ave
Pomona, CA 91767
Phone (909) 865-0544

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1700225877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 417",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "323-295-1136",
            "fax_number": "292-295-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675856",
            "telephone_number": "323-295-1136",
            "fax_number": "323-295-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-CURE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "KANNIKE-MARTINS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/EXECUTUVE DIRECTOR",
        "authorized_official_telephone_number": "323-295-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., RD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190636AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MIDICAL",
            "identifier": "190636AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Alternative School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.