Pmdca, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PMDCA, LLC

Practice address

23297 S Pointe Dr Ste 100
Laguna Hills, CA 92653

Phone

(949) 487-9500

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Peter Simmons

Title

Authorized Official

Phone

(781) 626-1212

Specialties & licenses 1

Addresses

Member of 1

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

• Bakorp, L.L.C.

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • West Valley, UT
  • NPI 1679812440

  Member Of

  NPD member

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1912383183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N 16TH ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167125",
            "telephone_number": "781-626-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23297 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-487-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMDCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-626-1212"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Place of Peace and Recovery
• Place of Presence Psychological Services, a Professional Corporation
• Katherine Platt, D.C.
• Douglas Pleiman
• Elizabeth Katz Pluskalowski, MS OTR/L, SWC, IBCLC
• Pmdtc, LLC
• PNP Associates
• Nicole Polidoro
• Mary Elizabeth Pongetti, DPT
• Alrea Jasmine Malinao Pontanares, RBT

• Clinical Medical Laboratory in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.