Procare, Ipa Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROCARE, IPA INC

Practice address

1828 E Cesar E Chavez Ave Ste 6500
Los Angeles, CA 90033-2585

Phone

(323) 263-6774

Fax

(323) 263-1277

NPI assigned

May 4, 2018

Last updated

Aug 6, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ALLIANCE EYE MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Ms. Michelle N Palmer

Title

Administrator, Coo

Phone

(323) 263-6774

Specialties & licenses 1

Addresses

Part of

Alliance Eye Med GRP in

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Alliance Eye Medical Group, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1437203635
  NPPES parent name

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1710476726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 6500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332585",
            "telephone_number": "323-263-6774",
            "fax_number": "323-263-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E CESAR E CHAVEZ AVE STE 6500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332585",
            "telephone_number": "323-263-6774",
            "fax_number": "323-263-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE, IPA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE EYE MEDICAL GROUP, INC.",
        "enumeration_date": "2018-05-04",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR, COO",
        "authorized_official_telephone_number": "323-263-6774",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destyni Proby
• Kourage Proby, BCBA
• Procare Medical Center Inc.
• Procare Medical Supply Inc
• Procare Mobile Response, LLC
• Danika Prochaska, M.D.
• Procreate 4D LLC (procreate 4D)
• Natalie Procter
• Karen K Proctor, CPNP
• Procultural Group Counseling Services

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.