Organization Active NPI

Care League & Partners LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tarzana, CA
National Provider Identifier
1770304156
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CARE LEAGUE & PARTNERS LLC
Practice address
18762 Wells Drive
Tarzana, CA 91356
Phone
(213) 341-2681
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Malik Jackson
Title
Ceo
Phone
(213) 341-2681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

18762 Wells Drive
Tarzana, CA 91356

Mailing address

18653 Ventura Blvd # 125
Tarzana, CA 91356-4103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1770304156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 VENTURA BLVD # 125",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18762 WELLS DRIVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "213-341-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LEAGUE & PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-341-2681"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.