Organization Active NPI

Infucare Medical Group of California Inc

Doing business as ClinIVoy Infusion Care

  • Infusion Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1790412252
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
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

Updated by the provider on Mar 20, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Clinivoy Infusion Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

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.

Verify at the official NPI Registry.