Promed Providers LLC

Primary specialty

Chronic Care Clinical Nurse SpecialistTaxonomy code 364SC2300X

Legal business name

PROMED PROVIDERS LLC

Practice address

1936 Pinehurst Rd
Los Angeles, CA 90068-3730

Phone

(213) 840-0123

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Donald Shinzato Porter

Title

President

Phone

(213) 840-0123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1811267503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 PINEHURST RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 PINEHURST RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683730",
            "telephone_number": "213-840-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SHINZATO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-840-0123"
    },
    "taxonomies": [
        {
            "code": "364SC2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Promise Recovery
• Promise Strtp
• Promise Transitional Homes Dba Promise Strtp
• Promises Kept, Inc.

• All providers in Los Angeles, CA
• Chronic Care Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.