UNIFIED CARE MEDICAL GROUP INC (NPI# 1346607603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346607603 |
Entity Type | Organization |
Organization Name | UNIFIED CARE MEDICAL GROUP INC |
Practice Address |
2040 Pacific Coast Hwy Suite S Lomita CA 90717-2660 |
Practice Telephone | 4243478008 |
Practice Fax Number | 8444819664 |
Mailing Telephone | 4243478008 |
Enumeration Date | 2016-01-18 |
Last Update Date | 2019-05-23 |
Authorized Official Name | RODERICK P RAMOS (OWNER/SECRETARY) |
Authorized Official Telephone | 4243478008 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
PA19706 | CA | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | A20957 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DR JOSE A PEREZ | A20957 | 01 |
CA | RODERICK P RAMOS | PA19706 | 01 |
CA | MANUEL BACULI MD | A25005 | 01 |
Street Address |
2040 PACIFIC COAST HWY SUITE S |
City | LOMITA |
State | CA |
Zip Code | 90717-2660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285752097 | Thelma None Neri | Physical Therapist | 2040 Pacific Coast Hwy, Suite S, Lomita, CA 90717-2660 | 2007-03-27 |
1144540105 | Yunjeong Choi | Acupuncturist | 2040 Pacific Coast Hwy, R, Lomita, CA 90717-2660 | 2010-06-01 |
1821242421 | Assured Pharmacy | Pharmacy | 2040 Pacific Coast Hwy, Ste R, Lomita, CA 90717-2660 | 2008-11-10 |
1053520924 | Susana Morell Dornberg | Occupational Therapist | 2040 Pacific Coast Hwy, Lomita, CA 90717-2660 | 2007-05-21 |
1881812428 | Elaine Macdonald | Specialist | 2040 Pacific Coast Hwy, Suite 's', Lomita, CA 90717-2660 | 2007-04-20 |
1265656540 | Carolyn Marie Kintz | Health Maintenance Organization | 2040 Pacific Coast Hwy, Suite S, Lomita, CA 90717-2660 | 2007-04-11 |
1851414437 | Romy Timm | Physical Therapist | 2040 Pacific Coast Hwy, Lomita, CA 90717-2660 | 2007-04-09 |
1053434548 | Ellie Mary Pavlov Krause | Occupational Therapist | 2040 Pacific Coast Hwy, Lomita, CA 90717-2660 | 2007-04-09 |
1679696678 | Sheryl A Furuichi | Physical Therapist | 2040 Pacific Coast Hwy, Lomita, CA 90717-2660 | 2007-04-06 |
1366562639 | Kwang Hun Kim | Acupuncturist | 2040 Pacific Coast Hwy, Suite # R, Lomita, CA 90717-2660 | 2007-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992336705 | Access To Rehab Corp. | Rehabilitation Practitioner | 24846 Narbonne Avenue, Lomita, CA 90717 | 2020-01-30 |
1407403587 | Roneilio San Diego Garcia | Technician | 2104 W. 242nd Street, Lomita, CA 90717 | 2019-08-22 |
1528614336 | Joann M Smith | Technician | 25111 Ebony Liv, Lomita, CA 90717 | 2019-08-16 |
1598276313 | Integrative Health Clinic | Chiropractor | 24846 Narbonne Ave, Lomita, CA 90717 | 2017-10-19 |
1497140511 | Red Sun Therapeutics, Inc. | Acupuncturist | 2244 Pacific Coast Hwy, Suite #107, Lomita, CA 90717 | 2015-04-06 |
1982914222 | Salomeh Tehrani | Dentist | 26015 Narbonne Ave, Apt 20, Lomita, CA 90717 | 2010-10-20 |
1124162151 | Susan J Kaspian | Optometrist | 1735 Pacific Coast Hwy, Lomita, CA 90717 | 2007-02-15 |
1114022365 | World Market Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2049 Pacific Coast Highway, Ste 103, Lomita, CA 90717 | 2006-09-13 |
1215047303 | Leo Jireh Cioco Abelita | Dentist | 1809 1/2 West Lomita Boulevard, Lomita, CA 90717 | 2006-08-30 |
1780690966 | Susan Renee Moreau | Chiropractor | 2383 Lomita Blvd, #115, Lomita, CA 90717 | 2006-07-31 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1265922520 | Lomita Acupuncture, Inc. | Clinic/Center | 1852 Lomita Blvd Ste 100, Lomita, CA 90717-1902 | 2018-05-12 |
1952672081 | Hermann Chiropractic, Inc | Clinic/Center | 1848 Lomita Blvd, Lomita, CA 90717-1906 | 2012-01-20 |
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1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
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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.