L.a. Medical Management, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000461 Issued in CA

Legal business name

L.A. MEDICAL MANAGEMENT, INC.

Doing business as

L.A. Care Provider

Practice address

11850 Wilshire Blvd
Suite 102
Los Angeles, CA 90025-6609

Phone

(310) 478-8400

Fax

(310) 478-8499

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Moore

Title

Predident

Phone

(310) 478-8400

Specialties & licenses 1

Addresses

Other names 1

• L.A. Care Provider Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058455

Legal name

L.A. MEDICAL MANAGEMENT, INC.

Doing business as

L.A. CARE PROVIDER

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 31, 2008

Last certification

Mar 12, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 1, 2004 in CA

Enrollment address

11850 Wilshire Blvd
Ste 102
Los Angeles, CA 90025-6630

Listed as

L a Care ProviderCCN 058455 · All quality measures

Ownership

Proprietary

Certified

Mar 31, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

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

• Nina Jalali, PHD

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1467770198
  NPD
• Yahya Hedvat, M.D.

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1306830021
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1881777860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256609",
            "telephone_number": "310-478-8400",
            "fax_number": "310-478-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 WILSHIRE BLVD",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256609",
            "telephone_number": "310-478-8400",
            "fax_number": "310-478-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.A. MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PREDIDENT",
        "authorized_official_telephone_number": "310-478-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. Care Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.