VENTEGRA, LLC (NPI# 1730444514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730444514 |
| Entity Type | Organization |
| Organization Name | VENTEGRA, LLC |
| Practice Address |
450 N Brand Blvd Ste. 600 Glendale CA 91203-2347 |
| Practice Telephone | 8585518111 |
| Practice Fax Number | 8585518175 |
| Mailing Telephone | 8585518111 |
| Mailing Fax Number | 8585518175 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | DR. ROBERT TAKETOMO (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585518111 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
450 N BRAND BLVD STE. 600 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912930884 | Sara Ann Epstein | Psychiatry & Neurology | 450 N Brand Blvd, Fl.6 Rm.66, Glendale, CA 91203 | 2006-07-07 |
| 1629473392 | Windy Paguio Sales | Case Manager/Care Coordinator | 450 N Brand Blvd, Ste. 600, Glendale, CA 91203-2347 | 2014-10-23 |
| 1306240619 | Ally Medical Group LLC | Nurse Practitioner | 450 N Brand Blvd, 600, Glendale, CA 91203-2347 | 2014-10-15 |
| 1578839189 | Bross and Associates, LLC | Prosthetic/Orthotic Supplier | 450 N Brand Blvd, Glendale, CA 91203-2347 | 2012-03-28 |
| 1093013476 | Jeff Berger | Marriage & Family Therapist | 450 N Brand Blvd, Ste. 1, Glendale, CA 91203 | 2011-03-08 |
| 1407178536 | Touch Life Center-glendale, LLC | Prosthetic/Orthotic Supplier | 450 N Brand Blvd, 6th Floor, Glendale, CA 91203-2347 | 2010-02-16 |
| 1235254871 | Matthew Ghukassian | Marriage & Family Therapist | 450 N Brand Blvd, Suite 600, Glendale, CA 91203-2347 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "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. 62 |
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| 1194883090 | Niculae Spirea | Point of Service | 6403 W Sandra Ter, Glendale, AZ 85306-1625 | 2006-12-04 |
| 1932293503 | Kmg Diagnostic Inc | Point of Service | 326 E Broadway Blvd, Glendale, CA 91205-1011 | 2006-10-03 |
| 1750484515 | Edward Investment, Inc | Point of Service | 1111 N Brand Blvd Ste L, Glendale, CA 91202-3071 | 2006-09-07 |
| 1437628450 | Joanna Mary Saporito, Licensed Clinical Social Worker A Prof Corp | Point of Service | 1139 N Brand Blvd Ste A, Glendale, CA 91202-3012 | 2018-11-19 |
| 1285934034 | Smith Family Chiropractic | Point of Service | 1218 E Broadway, Glendale, CA 91205-1408 | 2010-10-27 |
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| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
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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.