Organization Active NPI

Concertocare Pace of California, PC

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1962195008
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONCERTOCARE PACE OF CALIFORNIA, PC
Practice address
3680 Degnan Blvd
Los Angeles, CA 90018
Phone
(949) 292-6258
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Timothy Puri, MD
Title
President
Phone
(949) 292-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3680 Degnan Blvd
Los Angeles, CA 90018

Mailing address

PO Box 801280
Kansas City, MO 64180-1280
Phone (949) 292-6258

National Provider Directory

National Provider Directory

Locations

3680 Degnan Blvd
Los Angeles, CA 90018
Phone (213) 943-2490

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1962195008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801280",
            "telephone_number": "949-292-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 DEGNAN BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90018",
            "telephone_number": "949-292-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTOCARE PACE OF CALIFORNIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-292-6258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "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 Jun 2, 2023; 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.