NPIMap

Organization Active NPI

Florida Care Level Management Direct, LLC

  • General Practice Physician
  • Calabasas, CA
National Provider Identifier
1770569220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FLORIDA CARE LEVEL MANAGEMENT DIRECT, LLC
Practice address
23622 Calabasas Rd
Ste 250
Calabasas, CA 91302-1549
Phone
(818) 591-3435
Fax
(818) 591-3440
NPI assigned
Dec 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raouf Khalil
Title
Ceo
Phone
(818) 591-3435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

23622 Calabasas Rd
Ste 250
Calabasas, CA 91302-1549

Mailing address

3550 Buschwood Park Dr
Suite 133
Tampa, FL 33618-4461
Phone (813) 932-3741

National Provider Directory

National Provider Directory

Locations

23622 Calabasas Rd
Calabasas, CA 91302
Phone (818) 735-8818

23622 Calabasas Rd
Ste 250
Calabasas, CA 91302
Phone (818) 591-3435

3550 Buschwood Park Dr
Ste 133
Tampa, FL 33618
Phone (813) 932-3741

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770569220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BUSCHWOOD PARK DR",
            "address_2": "SUITE 133",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184461",
            "telephone_number": "813-932-3741",
            "fax_number": "813-932-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD",
            "address_2": "STE 250",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021549",
            "telephone_number": "818-591-3435",
            "fax_number": "818-591-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARE LEVEL MANAGEMENT DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "RAOUF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-591-3435"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.