California Senior Care Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CALIFORNIA SENIOR CARE INC

Practice address

81709 Dr Carreon Blvd Ste D2
Indio, CA 92201-5578

Phone

(760) 625-0545

Fax

(760) 625-0546

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Manuel Tover, PA

Title

PA

Phone

(760) 625-0545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Tovar, PA

  • Physician Assistant
  • Indio, CA
  • NPI 1497018584

  CA

  Medicare reassignment
• Soujanya Marupuru, MD

  • Family Medicine Physician
  • Rancho Mirage, CA
  • NPI 1740256460
  NPD
• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1851011985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE D2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015578",
            "telephone_number": "760-625-0545",
            "fax_number": "760-625-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE D2",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015578",
            "telephone_number": "760-625-0545",
            "fax_number": "760-625-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "TOVER",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "760-625-0545",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Caesar
• Callihan Caffery
• Cajon Medical Group PC
• Crystal M Calderon
• Elena Dolores Calderon
• Paola Calvillo
• Kevin Gabriel Camacho
• Isaiah Camargo
• Kevin Michael Cameron
• Jazmin Campazatti

• All providers in Indio, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.