OPTUMCARE MANAGEMENT, LLC (NPI# 1699085340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699085340 |
Entity Type | Organization |
Organization Name | OPTUMCARE MANAGEMENT, LLC |
Other Organization Name | HEALTHCARE PARTNERS - ROSCOE |
Practice Address |
18433 Roscoe Blvd 206 Northridge CA 91325-4108 |
Mailing Address |
P.o. Box 6400 Torrance CA 90504-6400 |
Practice Telephone | 8183411540 |
Enumeration Date | 2010-10-15 |
Last Update Date | 2019-08-19 |
Authorized Official Name | JOHN G. LEITHEN (SECRETARY) |
Authorized Official Telephone | 9522056262 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | G41579 | CA | Suppliers |
Other Name | Type Code |
---|---|
HealthCare Partners - Roscoe | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023339165 | Optumcare Management, LLC | Non-Pharmacy Dispensing Site | 5001 Lakewood Blvd, Lakewood, CA 90712-2412 | 2010-06-11 |
1316966542 | Optumcare Management, LLC | Health Maintenance Organization | 11706 Darlington Ave, Apt 202, Los Angeles, CA 90049-5517 | 2006-07-19 |
1568461655 | Optumcare Management, LLC | Durable Medical Equipment & Medical Supplies | 3150 W Prospect Rd, Suite 320, Fort Lauderdale, FL 33309-2597 | 2005-07-20 |
1780098525 | Optumcare Management, LLC | Family Medicine | 19191 S Vermont Ave, Suite 200, Torrance, CA 90502-1018 | 2014-06-19 |
1225379167 | Optumcare Management, LLC | Marriage & Family Therapist | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2013-03-01 |
1740584119 | Optumcare Management, LLC | Clinic/Center | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2010-12-29 |
1881908887 | Optumcare Management, LLC | Non-Pharmacy Dispensing Site | 4401 Atlantic Ave, 3rd, Long Beach, CA 90807-2218 | 2010-08-02 |
1558453704 | Optumcare Management, LLC | Preferred Provider Organization | 2600 Redondo Ave, Long Beach, CA 90806-2325 | 2006-09-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | OPTUMCARE MANAGEMENT, LLC | 2000 16th St, 2000 16th Street, Denver, CO 80202-5117 |
Street Address |
18433 ROSCOE BLVD 206 |
City | NORTHRIDGE |
State | CA |
Zip Code | 91325-4108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053387886 | Allan Abraham Shook | Specialist | 18433 Roscoe Blvd, Suite 202, Northridge, CA 91325-4108 | 2006-02-23 |
1033607189 | Fariba Kohanghadosh | Dentist | 18433 Roscoe Blvd, Northridge, CA 91325-4108 | 2018-04-24 |
1073031605 | Jennifer Michelle Melman | Nurse Practitioner | 18433 Roscoe Blvd, Suite 240, Northridge, CA 91325 | 2017-09-04 |
1992160345 | Elmira L Carpio | Registered Nurse | 18433 Roscoe Blvd, Suite 206, Northridge, CA 91325-4108 | 2015-12-29 |
1649679473 | Danae Boorsma | Nurse Practitioner | 18433 Roscoe Blvd, Ste 206, Northridge, CA 91325-4108 | 2014-08-18 |
1932520079 | Mehvish Abbasi | Nurse Practitioner | 18433 Roscoe Blvd, #106, Northridge, CA 91325-4108 | 2013-12-16 |
1457674343 | Allan A. Shook,m.d. A Medical Corporation | Internal Medicine | 18433 Roscoe Blvd, Ste. 202, Northridge, CA 91325-4108 | 2010-03-05 |
1285961789 | Dayan Kamal Gandhi | Internal Medicine | 18433 Roscoe Blvd, 202, Northridge, CA 91325-4108 | 2009-11-04 |
1740412741 | Angelica Brielle O'boyle | Audiologist | 18433 Roscoe Blvd, Suite 204, Northridge, CA 91325-4108 | 2009-08-10 |
1609005479 | William Yang | Internal Medicine | 18433 Roscoe Blvd, Suite #202, Northridge, CA 91325-4108 | 2009-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
Find all providers in zip 91325 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124334107 | Golden State Sports Injury and Orthopedic Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 18531 Roscoe Blvd Ste 202, Northridge, CA 91324-5950 | 2010-08-27 |
1497122824 | Anvar Medical Group | Non-Pharmacy Dispensing Site | 9346 Corbin Ave, Northridge, CA 91324-2405 | 2015-09-02 |
1285946046 | Minas Kochumian, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 18546 Roscoe Blvd, 312, Northridge, CA 91324-4663 | 2010-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
Find all providers with the same taxonomy |
City | NORTHRIDGE |
Zip Code | 91325 |
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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.