Organization Active NPI

Well Care Medical Center Inc.

  • Specialist
  • Panorama City, CA
National Provider Identifier
1730668526
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A72796 Issued in CA
Legal business name
WELL CARE MEDICAL CENTER INC.
Practice address
8780 Van Nuys Blvd Ste B
Panorama City, CA 91402-2454
Phone
(818) 894-3111
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Dr. Nader Armanious, M.D.NPI 1902023666
Title
Ceo
Phone
(714) 654-7990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A72796 CA Primary

Addresses

Primary practice location

8780 Van Nuys Blvd Ste B
Panorama City, CA 91402-2454

Mailing address

8549 Wilshire Blvd Ste 1149
Beverly Hills, CA 90211-3104
Phone (714) 654-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180831002446 CA Part B Supplier - Clinic/Group Practice 1052661683 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

8549 Wilshire Blvd
Beverly Hills, CA 90211

12800 Garden Grove Blvd
Garden Grove, CA 92843
Phone 7146208131 ext. 110

4300 Long Beach Blvd
Ste 320
Long Beach, CA 90807

122 E Washington Blvd
Los Angeles, CA 90015
Phone (213) 741-0400

12235 Beach Blvd
Ste 113
Stanton, CA 90680

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1730668526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 WILSHIRE BLVD STE 1149",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113104",
            "telephone_number": "714-654-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 VAN NUYS BLVD STE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022454",
            "telephone_number": "818-894-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "ARMANIOUS",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-654-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A72796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.