Active NPI
Absolute Care, Inc.
- Pharmacy
- San Fernando, CA
National Provider Identifier
1740323328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY47001
- Legal business name
- ABSOLUTE CARE, INC.
- Practice address
- 541 N Maclay Ave Ste 104
San Fernando, CA 91340-2478 - Phone
- (818) 365-0422
- NPI assigned
- Feb 14, 2007
- Last updated
- Feb 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boris Sarin, R.PH.
- Title
- Ceo
- Phone
- (818) 365-0422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY47001 | CA | Primary |
Addresses
Primary practice location
541 N Maclay Ave Ste 104
San Fernando, CA 91340-2478
Mailing address
541 N Maclay Ave Ste 104
San Fernando, CA 91340-2478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120203000295 | CA | DME Supplier - Pharmacy | 4082871942 | Practice locations: San Fernando, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Absolute Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1740323328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 N MACLAY AVE STE 104",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 N MACLAY AVE STE 104",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913402478",
"telephone_number": "818-365-0422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "SARIN",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-365-0422",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY47001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.