Organization Active NPI

Remedia Care Medical Corporation

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1982299830
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
REMEDIA CARE MEDICAL CORPORATION
Practice address
3617 Division Street
Los Angeles, CA 90065
Phone
(213) 400-1995
Fax
(213) 254-2055
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Dr. Andrew C De Niese, PHARMDNPI 1215486881
Title
Ceo
Phone
(646) 226-4523

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
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

3617 Division Street
Los Angeles, CA 90065

Mailing address

5482 Wilshire Blvd Ste 1559
Los Angeles, CA 90036-4218
Phone (213) 400-1995

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cerbo Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

400 E Live Oak Ave
Ste 100
Arcadia, CA 91006
Phone (213) 817-9136

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": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1982299830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 WILSHIRE BLVD STE 1559",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364218",
            "telephone_number": "213-400-1995",
            "fax_number": "213-254-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 DIVISION STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90065",
            "telephone_number": "213-400-1995",
            "fax_number": "213-254-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIA CARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "DE NIESE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-226-4523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cerbo",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5482 Wilshire Blvd Ste 1559",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900364218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 3, 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.