Active NPI
Care Level Management Direct Medical Group Texas, PA
- General Practice Physician
- Calabasas, CA
National Provider Identifier
1891771341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP TEXAS, PA
- Practice address
- 23622 Calabasas Rd
Ste 250
Calabasas, CA 91302-1549 - Phone
- (818) 591-3435
- NPI assigned
- Dec 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raouf Khalil
- Title
- Ceo
- Phone
- (818) 591-3435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
23622 Calabasas Rd
Ste 250
Calabasas, CA 91302-1549
Mailing address
200 Concord Plaza Dr
Ste 510
San Antonio, TX 78216-6943
Phone (210) 213-4262
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891771341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CONCORD PLAZA DR",
"address_2": "STE 510",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166943",
"telephone_number": "210-213-4262",
"fax_number": "210-682-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23622 CALABASAS RD",
"address_2": "STE 250",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021549",
"telephone_number": "818-591-3435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP TEXAS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "RAOUF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-591-3435"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.