Superior Care Ipa, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SUPERIOR CARE IPA, INC

Practice address

15821 Ventura Blvd
Suite 600
Encino, CA 91436-2915

Phone

(818) 461-5000

Fax

(818) 461-5078

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jim Borowsky

Title

Cfo

Phone

(818) 461-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1861858375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD",
            "address_2": "SUITE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362915",
            "telephone_number": "818-461-5000",
            "fax_number": "818-461-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD",
            "address_2": "SUITE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362915",
            "telephone_number": "818-461-5000",
            "fax_number": "818-461-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE IPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "BOROWSKY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-461-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Encino, CA
• Providers in Encino, 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 Jan 13, 2016; 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.