CAREATHOME MEDICAL PRACTICE CA PC NPI 1306516174

NPI Information

NPI: 1306516174
Provider Name: CAREATHOME MEDICAL PRACTICE CA PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
600 ANTON BLVD FL 11
COSTA MESA, CA
ZIP 92626
Phone: (888) 553-2823
Get Directions

CAREATHOME MEDICAL PRACTICE CA PC is a family nurse practitioner in Costa Mesa, CA. CAREATHOME MEDICAL PRACTICE CA PC NPI is 1306516174. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 ANTON BLVD FL 11
COSTA MESA, CA
ZIP 92626-100
Phone: (888) 553-2823
Fax: (888) 553-2823

The provider's authorized official is Joseph Jasser .
The authorized official title is Chief Medical Officer and has the following contact phone number (602) 663-8228.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 8/28/2023.

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	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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