Usc Care Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NA

Legal business name

USC CARE MEDICAL GROUP, INC

Practice address

1520 San Pablo St
Los Angeles, CA 90033-5310

Phone

(323) 442-5955

Fax

(323) 442-5953

NPI assigned

Jun 7, 2006

Last updated

Feb 27, 2023By 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

Mr. Jeremy Church

Title

Cfo

Phone

(323) 442-8747

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Usc Care Medical Group, Inc

  dba Wilshire Blvd 360 Clinic

  • Durable Medical Equipment & Medical Supplies
  • Beverly Hills, CA
  • NPI 1417836925

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba McBean Parkway Clinic

  • Durable Medical Equipment & Medical Supplies
  • Santa Clarita, CA
  • NPI 1538923875

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Verdugo Blvd Clinic

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
  • NPI 1568226801

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Nash Street Clinic

  • Durable Medical Equipment & Medical Supplies
  • El Segundo, CA
  • NPI 1649034984

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Santa Clara Clinic

  • Durable Medical Equipment & Medical Supplies
  • Arcadia, CA
  • NPI 1821972472

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Wilshire Blvd Clinic

  • Durable Medical Equipment & Medical Supplies
  • Beverly Hills, CA
  • NPI 1972367217

  0446157747

  Same PAC ID
• Usc Care Medical Group, Inc

  dba Usc Breast Cancer Analysis Laboratory

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1982271573

  0446157747

  Same PAC ID

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Southern California

  dba Usc Medical Plaza Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1679676639

  Member Of

  NPD member

Locations (25 of 282)

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2,871

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Abad-Santos, MD

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
  • NPI 1487041406
  Medicare reassignment Care Compare group NPD
• Ali Lyons Abanobi, CRNA

  • Certified Registered Nurse Anesthetist
  • Los Angeles, CA
  • NPI 1740756196
  Medicare reassignment Care Compare group NPD
• Stuart Anthony Abel, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1750761516
  Medicare reassignment Care Compare group NPD
• Rebecca Elizabeth Abeles, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1619695160
  Medicare reassignment Care Compare group NPD
• Minhal Haider Abidi, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1730704529
  Medicare reassignment Care Compare group NPD
• Daniel Abraham, MD

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1669735064
  Medicare reassignment Care Compare group NPD
• Alexandra Abrew, PA-C

  • Physician Assistant
  • Fullerton, CA
  • NPI 1750031647
  Medicare reassignment Care Compare group NPD
• Veronica L Acevedo, ACNP-BC

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1588214795
  Medicare reassignment Care Compare group NPD
• Temidayo Aderibigbe, MD

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1386261501
  Medicare reassignment Care Compare group NPD
• Joyce Adesina, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1922368745
  Medicare reassignment Care Compare group NPD
• Brandon Lawrence Adler, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1992199251
  Medicare reassignment Care Compare group NPD
• Ani Tania Aghazarian, PA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1154066025
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1902846306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900311309",
            "telephone_number": "626-457-4145",
            "fax_number": "626-457-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-5955",
            "fax_number": "323-442-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "323-442-8747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• USA Caregivers, Inc. (Caregivers USA, Inc.)
• USA Diagnostics
• Usc
• Usc Cardiothoracic Surgeon's
• Usc Care Medical Group, Inc (Usc Immunohistochemistry Laboratory)
• Usc Care Medical Group, Inc (Usc Breast Cancer Analysis Laboratory)
• Usc Care Medical Group, Inc. (Usc Psychiatric Urgent Care Center)
• Usc Care Medical Non-Contracted LLC (Usc Care Nephrology)
• Usc Caruso Department, Otolaryngology-Head and Neck Surgery
• Usc Colorectal Surgeons, Inc.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.