NPIMap

Organization Active NPI

Lagomcare, a Medical Corporation

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1962081406
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAGOMCARE, A MEDICAL CORPORATION
Practice address
5830 Overhill Dr Ste 1
Los Angeles, CA 90043-2710
Phone
(310) 887-1112
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Authorized official

Name
Jacqueline Grier, NPNPI 1841482155
Title
Cfo
Phone
(310) 887-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5830 Overhill Dr Ste 1
Los Angeles, CA 90043-2710

Mailing address

PO Box 452513
Los Angeles, CA 90045-8534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1962081406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452513",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OVERHILL DR STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432710",
            "telephone_number": "310-887-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGOMCARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-887-1112",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.