Active NPI
Infucare Medical Group of California Inc
Doing business as ClinIVoy Infusion Care
- Infusion Therapy Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- INFUCARE MEDICAL GROUP OF CALIFORNIA INC
- Doing business as
- ClinIVoy Infusion Care
- Practice address
- 4065 Whittier Blvd
Los Angeles, CA 90023-2556 - Phone
- (858) 314-9222
- Fax
- (949) 864-2320
- NPI assigned
- Aug 4, 2022
- 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
- Genevieve Benjamin
- Title
- Ceo
- Phone
- (949) 783-7009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
4065 Whittier Blvd
Los Angeles, CA 90023-2556
Mailing address
16782 Von Karman Ave Ste 12
Irvine, CA 92606-2417
Phone (858) 314-9222
Other names 1
- ClinIVoy Infusion Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221007002620 | CA | Part B Supplier - Clinic/Group Practice | 2365828720 |
Receives reassigned benefits from 3 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Riverside, CA; Thousand Oaks, CA; Santa Ana, CA; San Diego, CA; Palm Desert, CA; Murrieta, CA; Los Angeles, CA; Beverly Hills, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ClinIVoy Infusion Care
- Infusion Therapy Clinic/Center
- San Diego, CA
- NPI 1245961424
O20221007002620
-
dba ClinIVoy Infusion Care
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1932835543
O20221007002620
-
dba ClinIVoy Infusion Care
- General Practice Physician
- San Diego, CA
- NPI 1073240529
O20221007002620
National Provider Directory
National Provider Directory- Tax ID family
- Clinivoy Infusion Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba ClinIVoy Infusion Care
- Infusion Therapy Clinic/Center
- Riverside, CA
- NPI 1154018067
-
dba ClinIVoy Infusion Care
- Infusion Therapy Clinic/Center
- San Diego, CA
- NPI 1245961424
-
dba ClinIVoy Infusion Care
- General Practice Physician
- San Diego, CA
- NPI 1073240529
Locations
9025 Wilshire Blvd
Ste 205A
Beverly Hills, CA 90211
Phone (858) 314-9222
4065 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 968-1170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Anacortes, WA
- NPI 1336991447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1790412252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 12",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "858-314-9222",
"fax_number": "949-864-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4065 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232556",
"telephone_number": "858-314-9222",
"fax_number": "949-864-2320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFUCARE MEDICAL GROUP OF CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "GENEVIEVE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-783-7009"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ClinIVoy Infusion Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.