NPIMap

Organization Active NPI

Usc Care Medical Group, Inc

Doing business as Usc Breast Cancer Analysis Laboratory

  • Clinical Medical Laboratory
  • Los Angeles, CA
National Provider Identifier
1982271573
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
USC CARE MEDICAL GROUP, INC
Doing business as
Usc Breast Cancer Analysis Laboratory
Practice address
1441 Eastlake Ave Ste 5409
Los Angeles, CA 90089-1020
Phone
(323) 865-0563
Fax
(323) 865-0122
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
USC CARE MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Narsing A Rao, MD
Title
Vice Chair
Phone
(323) 442-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1441 Eastlake Ave Ste 5409
Los Angeles, CA 90089-1020

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-0563

Other names 1

  • USC BREAST CANCER ANALYSIS LABORATORY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211215002388 CA Part B Supplier - Independent Clinical Laboratory 0446157747 1 other NPI on this enrollment
Practice locations: Los Angeles, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D0684670Usc Breast Cancer Analysis Laboratory1441 Eastlake Ave, Ste 5409, Los Angeles, CA 90089AccreditationDec 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Usc Care Medical Group Inc13 organizations share this tax ID, including this one
Part of
Usc Care Medical Group Inc

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1982271573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-0563",
            "fax_number": "323-865-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 EASTLAKE AVE STE 5409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891020",
            "telephone_number": "323-865-0563",
            "fax_number": "323-865-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC CARE MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USC CARE MEDICAL GROUP, INC",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "NARSING",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE CHAIR",
        "authorized_official_telephone_number": "323-442-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC BREAST CANCER ANALYSIS LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.