Organization Active NPI

Absolute Care, Inc.

  • Pharmacy
  • San Fernando, CA
National Provider Identifier
1740323328
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY47001 Issued in CA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120203000295 CA DME Supplier - Pharmacy 4082871942 Practice locations: San Fernando, CA

National Provider Directory

National Provider Directory
Tax ID family
Absolute Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

541 N Maclay Ave
Ste 104
San Fernando, CA 91340
Phone (818) 365-0422

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.

Verify at the official NPI Registry.