Impact California, a Professional Medical Corporation, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

IMPACT CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION, INC.

Practice address

556 S Fair Oaks Ave Ste 101-5
Pasadena, CA 91105-2656

Phone

(626) 412-4280

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Armi Lynn Walker, MD

Title

President

Phone

(661) 428-2875

Specialties & licenses 1

Addresses

Other names 1

• Impact California IPA, Inc. Doing business as

Locations

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1861037210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE STE 101-5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656",
            "telephone_number": "626-412-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE STE 101-5",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656",
            "telephone_number": "626-412-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CALIFORNIA, A PROFESSIONAL MEDICAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ARMI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-428-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact California IPA, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Songchan Im, D.P.T
• Kelly Im
• Imaging Specialist of Pasadena LLC
• Imago Wellness Acupuncture, Inc
• Kayla Imhoff
• Imperial Health Holdings, a Professional Medical Corporation
• Imperial Health Plan of California, Inc
• Imperial Healthcare Services
• Imperial Hospice Care Inc
• Imperial Insurance Companies, Inc.

• Health Maintenance Organization in Pasadena, CA
• Providers in Pasadena, 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 Nov 8, 2019; 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.