Premier Patient Care Ipa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PREMIER PATIENT CARE IPA

Practice address

12828 Harbor Blvd Ste 300
Garden Grove, CA 92840-5834

Phone

(855) 548-0911

NPI assigned

Jun 25, 2019

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anh V Nguyen

Title

Administrator

Phone

(855) 548-0911

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1891356317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD STE 300",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD STE 300",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405834",
            "telephone_number": "855-548-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PATIENT CARE IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "855-548-0911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "procaremso.com",
            "affiliation": "N",
            "endpointDescription": "a.nguyen@procaremso.com",
            "address_1": "12828 Harbor Blvd Ste 300",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928405834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Maintenance Organization in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 18, 2021; 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.