Organization Active NPI

Advanced Mso

  • Health Maintenance Organization
  • Walnut, CA
National Provider Identifier
1851926299
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ADVANCED MSO
Practice address
18800 Amar Rd Ste B2
Walnut, CA 91789-7100
Phone
(888) 998-9833
NPI assigned
Mar 5, 2020
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Mrs. Lili Maneerod, MHA
Title
President
Phone
(626) 506-5564

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Health Maintenance Organization 302R00000X NU Primary
Preferred Provider Organization 305R00000X NU

Addresses

Primary practice location

18800 Amar Rd Ste B2
Walnut, CA 91789-7100

Mailing address

18800 Amar Rd Ste B2
Walnut, CA 91789-7100
Phone (626) 506-5564

Other identifiers 1

IdentifierTypeStateIssuer
4297034OtherCASECRETARY OF STATE ARTICLES OF INCORPORATION

National Provider Directory

National Provider Directory

Locations

18800 Amar Rd
Ste B2
Walnut, CA 91789
Phone (888) 998-9833

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1851926299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE B2",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897100",
            "telephone_number": "626-506-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 AMAR RD STE B2",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897100",
            "telephone_number": "888-998-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MANEEROD",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-506-5564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE ARTICLES OF INCORPORATION",
            "identifier": "4297034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.