Organization Active NPI

Ca Medical Services

  • Primary Care Clinic/Center
  • Wellington, FL
National Provider Identifier
1730734617
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CA MEDICAL SERVICES
Practice address
1035 S State Road 7 Ste 119
Wellington, FL 33414-6136
Phone
(561) 523-3973
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Kenneth Manchon, MDNPI 1073569398
Title
MD
Phone
(561) 523-3973

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1035 S State Road 7 Ste 119
Wellington, FL 33414-6136

Mailing address

1035 S State Road 7 Ste 119
Wellington, FL 33414-6136
Phone (561) 523-3973

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1730734617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 119",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146136",
            "telephone_number": "561-523-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 119",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146136",
            "telephone_number": "561-523-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MANCHON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-523-3973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.