NPIMap

Organization Active NPI

California Care Corp

  • Preferred Provider Organization
  • Glendale, CA
National Provider Identifier
1770801227
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
197331 Issued in CA
Legal business name
CALIFORNIA CARE CORP
Practice address
610 N Central Ave Ste 106
Glendale, CA 91203-1418
Phone
(818) 551-0026
Fax
(818) 551-0027
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Michael Ming Ta Su, M.D.
Title
Provider
Phone
(818) 551-0026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 197331 CA Primary

Addresses

Primary practice location

610 N Central Ave Ste 106
Glendale, CA 91203-1418

Mailing address

610 N Central Ave Ste 106
Glendale, CA 91203-1418
Phone (818) 551-0026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1770801227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE STE 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031418",
            "telephone_number": "818-551-0026",
            "fax_number": "818-551-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE STE 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031418",
            "telephone_number": "818-551-0026",
            "fax_number": "818-551-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MING TA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-551-0026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "197331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.