California Club Diagnostics Center, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALIFORNIA CLUB DIAGNOSTICS CENTER, LLC.

Practice address

850 Ives Dairy Rd Unit 14
North Miami Beach, FL 33179-2450

Phone

(305) 405-0365

Fax

(305) 405-0370

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Alexander Baronov

Title

President

Phone

(305) 405-0365

Specialties & licenses 1

Addresses

Tax ID family

California Club Diagnostic Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California Club Diagnostic Center, LLC.

  • Other Technician
  • North Miami Beach, FL
  • NPI 1275664336
  NPD tax ID

Practitioners 1

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

• Norman Henry Wasserman, M.D.

  • Allergy & Immunology Physician
  • North Miami Beach, FL
  • NPI 1063514644
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851400931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD UNIT 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IVES DAIRY RD UNIT 14",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792450",
            "telephone_number": "305-405-0365",
            "fax_number": "305-405-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CLUB DIAGNOSTICS CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARONOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-405-0365"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Cabal Gonzalez
• Claudia Cabrera Hernandez, MD
• Luis Rene Cabrera, MD
• Reinold Cabreras
• California Club Diagnostic Center, LLC.
• California Club Medical Center LLC
• Jessica Kathleen Camarillo, BA, BCABA
• Jayne Cambas, BAS CCS
• Karen S Campbell
• Katrevia Shyteria Campbell, CNM

• Family Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• 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.