Organization Active NPI

Care Level Management Direct Medical Group Texas, PA

  • General Practice Physician
  • Calabasas, CA
National Provider Identifier
1891771341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.