Active NPI
Concertocare Pace of California, PC
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1962195008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Ellison Pua Concepcion, CRNA MSN
- Sarah Concepcion
- Say Pedrera Concepcion, FNP
- Concerto Health Pace of Los Angeles, LLC
- Concertocare Medical of New Jersey, PC
- Concierge Anesthesia Associates
- Concierge HCP Center for Special Surgery
- Concierge Healthcare Partners Inc.
- Concierge Nursing Services, Inc
- Concord Home Health
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.