Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 302F00000X | Exclusive Provider Organization | | HAP 428 | CALIFORNIA | No |
2 | 302R00000X | Health Maintenance Organization | | HAP 428 | CALIFORNIA | No |
3 | 305R00000X | Preferred Provider Organization | | HAP 428 | CALIFORNIA | No |
4 | 305S00000X | Point of Service | | HAP 428 | CALIFORNIA | No |
5 | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | HAP 428 | CALIFORNIA | Yes |