PREFERRED PHYSICIAN PROVIDERS INC


Address: 381 Van Ness Ave, Suite 1507, Torrance, CA 90501-6224
Phone: 3107837450

PREFERRED PHYSICIAN PROVIDERS INC (NPI# 1134386667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134386667
Entity Type Organization
Organization Name PREFERRED PHYSICIAN PROVIDERS INC
Practice Address 381 Van Ness Ave
Suite 1507
Torrance
CA 90501-6224
Practice Telephone 3107837450
Practice Fax Number 3103474188
Mailing Telephone 3107837450
Mailing Fax Number 3103474188
Enumeration Date 2008-05-21
Last Update Date 2008-05-21
Authorized Official Name MR. ROBERT PRENTICE NICKELL (CEO)
Authorized Official Telephone 3107837450
Authorized Official Credential PHARMACIST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 381 VAN NESS AVE
SUITE 1507
City TORRANCE
State CA
Zip Code 90501-6224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124326996 Pharmco Inc Pharmacy 381 Van Ness Ave, Suite 1506, 1509, Torrance, CA 90501-6224 2011-03-03
1275785131 Ti-med,inc. Prosthetic/Orthotic Supplier 381 Van Ness Ave, Suite 1514, Torrance, CA 90501-6224 2008-10-22

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1902325517 Diane Elizabeth Rogers Counselor 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 2017-09-14
1124545397 Daniel Benjamin Social Worker 1617 Cravens Ave., Torrance, CA 90501 2017-08-28
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1124453030 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1303 W Sepulveda Blvd, Torrance, CA 90501 2013-09-10
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City TORRANCE
Zip Code 90501

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Dataset Information

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.

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