Organization Active NPI

Ultra Care Plus Inc

  • Adult Day Care Clinic/Center
  • Palmdale, CA
National Provider Identifier
1922144294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ULTRA CARE PLUS INC
Practice address
38424 10TH St E Ste a
Palmdale, CA 93550-2921
Phone
(661) 538-0899
NPI assigned
Jan 30, 2007
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
Mr. Mario Sison
Title
Cfo
Phone
(661) 538-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

38424 10TH St E Ste a
Palmdale, CA 93550-2921

Mailing address

PO Box 131268
Carlsbad, CA 92013-1268
Phone (661) 538-0899

Other identifiers 1

IdentifierTypeStateIssuer
ADU70170FMedicaidCA

Other names 1

  • ultra care plus adhc Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0985308Ultra Care Plus Adult Day HLTH Care38424 10TH Street East Ste a, Palmdale, CA 93550Certificate of waiverApr 12, 2027

National Provider Directory

National Provider Directory

Locations

38424 10th St E
Ste A
Palmdale, CA 93550
Phone (661) 538-0899

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922144294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131268",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920131268",
            "telephone_number": "661-538-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38424 10TH ST E STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502921",
            "telephone_number": "661-538-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-538-0899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70170F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ultra care plus adhc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmdale, 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.
  • 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.