HEALTH NET LIFE INSURANCE COMPANY, CA PPO (NPI# 1780860866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780860866 |
| Entity Type | Organization |
| Organization Name | HEALTH NET LIFE INSURANCE COMPANY, CA PPO |
| Practice Address |
21281 Burbank Blvd Mail Stop: Ca-900-03-31 Woodland Hills CA 91367-6607 |
| Mailing Address |
21650 Oxnard St Mail Stop: Ca-102-22-12 Woodland Hills CA 91367-4901 |
| Practice Telephone | 8186768767 |
| Practice Fax Number | 8186767754 |
| Mailing Telephone | 8186768767 |
| Mailing Fax Number | 8186767754 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. JAMES E. WOYS (PRESIDENT HEALTH NET LIFE INSURANCE) |
| Authorized Official Telephone | 8186768454 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH NET, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Street Address |
21281 BURBANK BLVD MAIL STOP: CA-900-03-31 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457313678 | Patricia Arnold Buss | Plastic Surgery | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2006-04-04 |
| 1144855909 | Niket Ruparelia | Pharmacist | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2020-03-11 |
| 1417386376 | James Gerson | Pediatrics | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2013-11-01 |
| 1962749788 | Edward Thomas Reis | Pediatrics | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2013-01-14 |
| 1629355649 | Julianne Emoto | Pharmacist | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2011-11-04 |
| 1942503321 | Carol Zaher | Internal Medicine | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2010-12-07 |
| 1578874640 | Shauna Blake Collins | Family Medicine | 21281 Burbank Blvd, Woodland Hills, CA 91367-6607 | 2010-06-23 |
| 1740467943 | Health Net Life Insurance Company - Az Rppo | Preferred Provider Organization | 21281 Burbank Blvd, Mail Stop: Ca-900-03-34, Woodland Hills, CA 91367-6607 | 2008-01-30 |
| 1316124506 | Health Net Life Insurance Company - Pffs Other | Point of Service | 21281 Burbank Blvd, Mail Stop: Ca-900-03-34, Woodland Hills, CA 91367-6607 | 2008-01-30 |
| 1720264039 | Health Net of California, Inc. | Health Maintenance Organization | 21281 Burbank Blvd, Mail Stop: Ca-900-03-01, Woodland Hills, CA 91367-6607 | 2008-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
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| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| 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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|---|---|---|---|---|
| 1407248230 | Merry Lambert | Preferred Provider Organization | 24331 Aetna St, Woodland Hills, CA 91367-1104 | 2015-03-03 |
| 1013345651 | Bruce I. Derman Psychological Corporation | Preferred Provider Organization | 23011 Oxnard St, Woodland Hills, CA 91367-3232 | 2013-10-16 |
| 1740467943 | Health Net Life Insurance Company - Az Rppo | Preferred Provider Organization | 21281 Burbank Blvd, Mail Stop: Ca-900-03-34, Woodland Hills, CA 91367-6607 | 2008-01-30 |
| 1750456323 | Ivan J Kamil | Preferred Provider Organization | 21555 Oxnard St, 6g, Woodland Hills, CA 91367-4943 | 2006-11-21 |
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| City | WOODLAND HILLS |
| Zip Code | 91367 |
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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.