CCRMED INC (NPI# 1093044604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093044604 |
| Entity Type | Organization |
| Organization Name | CCRMED INC |
| Other Organization Name | CENTRAL UTAH PATHOLOGY |
| Practice Address |
7301 Medical Center Dr Suite 200 West Hills CA 91307-1904 |
| Mailing Address |
23705 Vanowen St Suite 151 West Hills CA 91307-3030 |
| Practice Telephone | 8189240525 |
| Practice Fax Number | 8189360198 |
| Mailing Telephone | 8189240525 |
| Mailing Fax Number | 8189360198 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | LEON TAN QUE JR. (PRESIDENT) |
| Authorized Official Telephone | 8189240525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 46D0992374 | UT | Laboratories |
| Other Name | Type Code |
|---|---|
| central utah pathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598079154 | Ccrmed Inc | Clinical Medical Laboratory | 1000 Highway 6, Payson, UT 84651-1600 | 2010-08-05 |
| Street Address |
7301 MEDICAL CENTER DR SUITE 200 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142157 | Evan Jay Bachner | Orthopaedic Surgery | 7301 Medical Center Dr, Ste 400, West Hills, CA 91307-1988 | 2005-05-24 |
| 1609395631 | Birva B. Joshi, Dds Inc | Dentist | 7301 Medical Center Dr, West Hills, CA 91307-1904 | 2017-09-11 |
| 1013337666 | Jodi-ann Sherine Williams | Physician Assistant | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2014-04-22 |
| 1790088326 | Lynn Lee Hoffer | Nurse Practitioner | 7301 Medical Center Dr, West Hills, CA 91307-1904 | 2010-12-21 |
| 1902127384 | Aneet Singh Toor | Orthopaedic Surgery | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2010-06-19 |
| 1184953002 | Birva Joshi Jones | Dentist | 7301 Medical Center Dr, 305, West Hills, CA 91307-1904 | 2009-12-24 |
| 1164756573 | Sakina Aamer Jamali | Optometrist | 7301 Medical Center Dr, Suite 410, West Hills, CA 91307-1904 | 2009-10-01 |
| 1336374958 | Purab Chawla Viswanath | Orthopaedic Surgery | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2009-05-27 |
| 1669606844 | Amir Vokshoor Md Inc | Neurological Surgery | 7301 Medical Center Dr, Suite 301, West Hills, CA 91307-1904 | 2009-05-04 |
| 1811131741 | Kenneth J. Arenson, M.d. | Ophthalmology | 7301 Medical Center Dr, Suite #410, West Hills, CA 91307-1904 | 2009-04-22 |
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|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
| Find all providers in zip 91307 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| City | WEST HILLS |
| Zip Code | 91307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.