Intercede Health of California

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERCEDE HEALTH OF CALIFORNIA

Practice address

1680 E 120TH St
Los Angeles, CA 90059-3026

Phone

(832) 476-3900

Fax

(832) 476-6494

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

INTERCEDE HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Mr. Patrick J Mathews

Title

Chief Financial Officer

Phone

(832) 476-3900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAAGDD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dan Lotan, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1801882923
  NPD (past)
• Nelson Andres Velazquez Liriano, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1720484264
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1720471097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "SUITE 1350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029000",
            "telephone_number": "832-476-3900",
            "fax_number": "832-476-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "832-476-3900",
            "fax_number": "832-476-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCEDE HEALTH OF CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERCEDE HEALTH, INC.",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "832-476-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080840401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006694600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intercare Therapy, Inc.
• Interconnection Center Inc.
• Intergrated Home Health Care Inc
• Alexander Luis Interiano, MSN, APRN, NP
• Sofia Interiano
• Interim Healthcare Inc.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.