Health Care la, Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

HEALTH CARE LA, IPA

Practice address

6400 Canoga Ave
Suite 163
Woodland Hills, CA 91367-2425

Phone

(818) 702-0100

Fax

(818) 702-9128

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Deaktor, RN

Title

Director of Medical Affairs

Phone

(818) 702-0100

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801929757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570590",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913570590",
            "telephone_number": "818-702-0100",
            "fax_number": "818-702-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE",
            "address_2": "SUITE 163",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672425",
            "telephone_number": "818-702-0100",
            "fax_number": "818-702-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE LA, IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAKTOR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "818-702-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Health Maintenance Organization in California

• 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.