NPIMap

Organization Active NPI

Imperial Medical Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1891178034
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
IMPERIAL MEDICAL CARE LLC
Practice address
1717 Costa del Sol
Boca Raton, FL 33432-1746
Phone
(954) 993-5757
Fax
(954) 577-5776
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Bharat K Gupta
Title
Administrator
Phone
(954) 993-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1717 Costa del Sol
Boca Raton, FL 33432-1746

Mailing address

1717 Costa del Sol
Boca Raton, FL 33432-1746
Phone (954) 993-5757

National Provider Directory

National Provider Directory

Locations

1717 Costa del Sol
Boca Raton, FL 33432
Phone (954) 993-5757

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1891178034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 COSTA DEL SOL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321746",
            "telephone_number": "954-993-5757",
            "fax_number": "954-577-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 COSTA DEL SOL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321746",
            "telephone_number": "954-993-5757",
            "fax_number": "954-577-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-993-5757"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.